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Individual

KEIRA WALLENBORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
1010 E 10TH ST, TUCSON, AZ 85719-5813
(520) 225-6000
Mailing address
10587 E SEVEN GENERATIONS WAY, TUCSON, AZ 85747-5811
(901) 293-0142

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA20476
FL

Other

Enumeration date
07/08/2022
Last updated
08/04/2025
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