Individual
KALLIE R PAULSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S., SLPA
Contact information
Practice address
1005 N CENTER AVE APT 4310, ONTARIO, CA 91764-5509
(909) 942-1426
Mailing address
1005 N CENTER AVE APT 4310, ONTARIO, CA 91764-5509
(909) 942-1426
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
6429
CA
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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