Individual
KYLI LAUREN GREENHALGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
6280 E PIMA ST STE 110, TUCSON, AZ 85712-3074
(332) 205-2779
Mailing address
510 S LONGFELLOW AVE, TUCSON, AZ 85711-4726
(520) 697-2341
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-22522
AZ
2355S0801X
Speech-Language Assistant
SLPA11215
AZ
Other
Enumeration date
07/04/2018
Last updated
09/27/2024
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