Individual
JAMIE MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3160 STILLWATER DR, PRESCOTT, AZ 86305-7151
(858) 229-6119
Mailing address
2852 JERRY ST, PRESCOTT, AZ 86301-7608
(858) 229-6119
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP16051
AZ
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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