Individual
JORDAN KEZIAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2830 E BROWN RD STE 1, MESA, AZ 85213-5431
(602) 875-5608
Mailing address
1497 E PINTO CT, GILBERT, AZ 85296-3120
(480) 416-0915
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA15195
AZ
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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