Individual
JACKLYN MICHELLE MADRIGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. SLP-CCC
Contact information
Practice address
12411 SLAUSON AVE, WHITTIER, CA 90606-2835
(562) 693-5449
Mailing address
5310 RIDEOUT WAY, WHITTIER, CA 90601-2262
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP20856
CA
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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