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Organization
JUST KIDS LEARNING CENTER
Active
Organization
JUST KIDS LEARNING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER A LOPEZ MS, CCC-SLP (DIRECTOR)
(415) 775-5511
Entity
Organization
Contact information
Practice address
2722 GOUGH ST, SAN FRANCISCO, CA 94123-4405
(415) 775-5511
(415) 775-5521
Mailing address
2722 GOUGH ST, SAN FRANCISCO, CA 94123-4405
(415) 775-5511
(415) 775-5521
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP12079
CA
252Y00000X
Early Intervention Provider Agency
SP12079
CA
Other
Enumeration date
12/04/2007
Last updated
04/01/2009
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