Individual
EVANS MARIE CAISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 VICENTE ST, SAN FRANCISCO, CA 94116-3044
(510) 639-2929
Mailing address
1202 VICENTE ST, SAN FRANCISCO, CA 94116-3044
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13050
CA
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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