Individual
MR. KIM JARED HARDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA CCC-SLP
Contact information
Practice address
516 W MONTE AVE, MESA, AZ 85210-7566
(480) 497-5248
(480) 813-8506
Mailing address
516 W MONTE AVE, MESA, AZ 85210-7566
(480) 497-5248
(480) 813-8506
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0269
AZ
Other
Enumeration date
04/27/2007
Last updated
07/08/2007
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