Individual
MRS. STEPHANIE SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA, ATP
Contact information
Practice address
4396 N SUGAR MAPLE CT, CONCORD, CA 94521-4337
(617) 842-4107
Mailing address
4396 N SUGAR MAPLE CT, CONCORD, CA 94521-4337
(617) 842-4107
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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