Individual
JENNIFER JO KILLIGREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
7365 E NORTHRIDGE CIR, MESA, AZ 85207-2089
(480) 694-7012
Mailing address
7365 E NORTHRIDGE CIR, MESA, AZ 85207-2089
(480) 694-7012
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP5154
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
314426
—
AZ
Enumeration date
05/23/2007
Last updated
09/11/2013
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