Individual
MICHELLE L LIACONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14557 W INDIAN SCHOOL RD, GOODYEAR, AZ 85395-9243
(623) 242-6908
Mailing address
14557 W INDIAN SCHOOL RD, GOODYEAR, AZ 85395-9243
(623) 242-6908
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
242006006
IL
235Z00000X
Speech-Language Pathologist
Primary
TSLP12889
AZ
Other
Enumeration date
08/19/2020
Last updated
08/10/2021
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