Individual
KRISTEN CAMILLE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4870 N LITCHFIELD RD STE 101, LITCHFIELD PARK, AZ 85340-5041
(623) 935-6040
Mailing address
5207 W CAMPO BELLO DR, GLENDALE, AZ 85308-3928
(575) 802-3901
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA11370
AZ
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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