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Individual

DAWN YAZDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
1301 E BIDWELL ST, SUITE 201, FOLSOM, CA 95630-3565
(916) 983-5915
(916) 983-5906
Mailing address
1301 E BIDWELL ST, SUITE 201, FOLSOM, CA 95630-3565
(916) 983-5915
(916) 983-5906

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13815
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SLP13815
CALIFORNIA STATE LICENSE BOARD
CA
Enumeration date
07/29/2015
Last updated
12/01/2021
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