Individual
KAILLA SAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
9197 W 6TH AVE, LAKEWOOD, CO 80215-5112
(720) 358-9896
Mailing address
3733 S LEWIS CT, LAKEWOOD, CO 80235-1137
(303) 875-2431
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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