Individual
DESIREE CONTRERAS-PROVOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2910 MCCLURE ST, OAKLAND, CA 94609-3505
(510) 836-3677
Mailing address
8243 APPLE COVE CT, SACRAMENTO, CA 95828-5711
(916) 897-0549
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
32962
CA
Other
Enumeration date
12/26/2020
Last updated
10/12/2023
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