Individual
MS. STEFANIE JEANE ALLISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
3180 ARAPAHO DR APT 101, LAKE HAVASU CITY, AZ 86406-5778
(928) 566-5475
Mailing address
3180 ARAPAHO DR APT 101, LAKE HAVASU CITY, AZ 86406-5778
(928) 566-5475
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA10438
AZ
Other
Enumeration date
05/26/2018
Last updated
05/26/2018
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