Individual
TENNILLE DAWN LOEFFELHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15046 W SELLS DR, GOODYEAR, AZ 85395-7700
(602) 403-5274
Mailing address
15046 W SELLS DR, GOODYEAR, AZ 85395-7700
(602) 403-5274
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA13159
AZ
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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