Individual
CHANEL TERRY KONJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
3878 RUFFIN RD STE B, SAN DIEGO, CA 92123-1842
(619) 578-2208
Mailing address
1466 BURRIS DR, EL CAJON, CA 92019-3592
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/26/2020
Last updated
05/26/2020
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