Individual
MS. CONNIE LEE ADDICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.CCC,SLP
Contact information
Practice address
135 CHANDON, LAGUNA NIGUEL, CA 92677-5732
(949) 280-2519
Mailing address
135 CHANDON, LAGUNA NIGUEL, CA 92677-5732
(949) 280-2519
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8174
CA
Other
Enumeration date
05/31/2010
Last updated
05/31/2010
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