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Individual

LAKEISHA JOSEPH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
21630 N 19TH AVE, PHOENIX, AZ 85027-2719
(602) 875-5616
Mailing address
1310 E SCORPIO PL, CHANDLER, AZ 85249-2136
(678) 618-0587

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA10876
AZ
235Z00000X
Speech-Language Pathologist
PCET002216
GA

Other

Enumeration date
06/08/2016
Last updated
02/24/2025
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