Individual
MS. MICHELLE MARIE LUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
1252 S AVONDALE BLVD, AVONDALE, AZ 85323-8900
(623) 478-5727
Mailing address
9680 W OLIVE AVE APT 133, PEORIA, AZ 85345-6961
(623) 206-4220
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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