Individual
LACEY BROOKE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1601 N TUCSON BLVD STE 6, TUCSON, AZ 85716-3404
(520) 829-9635
Mailing address
9387 E CARMEL DR, TUCSON, AZ 85747-5305
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP10657
AZ
Other
Enumeration date
07/11/2017
Last updated
12/04/2018
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