Individual
GILLIAN DVORAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
9606 TIERRA GRANDE ST, #107,, SAN DIEGO, CA 92126-6501
(858) 695-9415
Mailing address
2995 RANCH VIEW CT, CHULA VISTA, CA 91914-5319
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16737
CA
Other
Enumeration date
03/07/2013
Last updated
03/07/2013
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