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Individual

LAUREN ELIZABETH BEENTJES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1972 DEL PASO RD STE 156, SACRAMENTO, CA 95834-7725
(916) 575-8800
(916) 575-8822
Mailing address
PO BOX 341160, SACRAMENTO, CA 95834-9060
(916) 575-8800
(916) 575-8822

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA5294
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SPA5294
SPEECH
Enumeration date
02/04/2019
Last updated
02/04/2019
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