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KRISTINE CLEARY FONTES

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1336160415

Individual Registrant:
 KRISTINE CLEARY FONTES 
Gender: F
Sole Proprietor

Location and contact information for practice:
1374 W FRONTAGE RD  RIO RICO, AZ 85648-6238 US
Tel: 520-281-8282  Fax: 520-377-0680

Contact information for business:
PO BOX 4168  TUBAC, AZ 85646-4168 US
Tel: 520-375-8283  Fax: 520-377-0680

Registration Information:
NPI: 1336160415
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
AZSLP2066

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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