Individual
ARIEL RENE CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1812 W KETTLEMAN LN STE 2C, LODI, CA 95242-4209
(209) 470-2981
Mailing address
1812 W KETTLEMAN LN STE 2C, LODI, CA 95242-4209
(209) 470-2981
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
33073
CA
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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