Individual
DARETH MICHELLE TRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
13101 W WASHINGTON BLVD # 465, LOS ANGELES, CA 90066-5131
(310) 867-3818
(310) 388-0817
Mailing address
13101 W WASHINGTON BLVD # 465, LOS ANGELES, CA 90066-5131
(310) 867-3818
(310) 388-0817
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15339
CA
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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