Individual
JACQUELINE BUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3620 LONG BEACH BLVD STE A2, LONG BEACH, CA 90807-6015
(310) 930-7491
Mailing address
3620 LONG BEACH BLVD STE A2, LONG BEACH, CA 90807-6015
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA 495
CA
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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