Individual
KAHILI MARIE SOUTHWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
9385 W DONALD DR, PEORIA, AZ 85383-2988
(480) 202-5227
Mailing address
14 SPUR CIR, SCOTTSDALE, AZ 85251-5461
(480) 202-5227
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA11393
AZ
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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