Individual
JACQUELINE DOUGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12318 VENICE BLVD, LOS ANGELES, CA 90066-3802
(201) 693-1830
Mailing address
3780 OCEAN VIEW AVE APT 10, LOS ANGELES, CA 90066-3173
(201) 693-1830
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
CA
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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