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Individual
MS. JOANNE KIM SONG
Active
Individual
MS. JOANNE KIM SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SPA B64
CA
235Z00000X
Speech-Language Pathologist
Primary
6633
CA
Other
Enumeration date
02/09/2010
Last updated
10/28/2010
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