Individual
TIFFANY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7034 S. 64AVE, LAVEEN, AZ 85339
(602) 754-1172
Mailing address
7034 S 64TH AVE, LAVEEN, AZ 85339-9623
(602) 754-1172
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA9032
AZ
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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