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Individual

ALICIA TEETER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC

Contact information

Practice address
4010 MOORPARK AVE, 117, SAN JOSE, CA 95117-4101
(408) 249-0770
(408) 834-7767
Mailing address
4010 MOORPARK AVE, 117, SAN JOSE, CA 95117-4101
(408) 249-0770
(408) 834-7767

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17524
CA

Other

Enumeration date
01/16/2013
Last updated
01/16/2013
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