Individual
MRS. CAITLYN JUANITA MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5314 N. 7TH ST., PHOENIX, AZ 85014
(602) 277-5006
(602) 277-5042
Mailing address
PO BOX 7220, PHOENIX, AZ 85011-7220
(602) 277-5006
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA7752
AZ
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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