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Individual
JLISIA MARIELLE BURCH
Active
Individual
JLISIA MARIELLE BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-INTERN
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
123749
TX
Other
Enumeration date
10/01/2019
Last updated
06/03/2025
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