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Individual

CRYSTAL ROWAN-CLAIRE UDEHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA CCC-SLP

Contact information

Practice address
28780 SINGLE OAK DR, STE. 290, TEMECULA, CA 92590-3625
(951) 693-5871
(951) 693-5872
Mailing address
24630 WASHINGTON AVE, SUITE 200, MURRIETA, CA 92562-6177
(951) 696-9353
(951) 973-7216

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13478
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0237659
STATE OF WASHINGTON DEPT. OF LABOR AND INDUSTRIES
WA
01
SP0134780
BLUE SHIELD
CA
Enumeration date
07/09/2008
Last updated
03/02/2015
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