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Individual

ASHLEY JUAREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4100 NORMAL ST, SAN DIEGO, CA 92103-2653
(619) 725-5501
Mailing address
4100 NORMAL ST, SAN DIEGO, CA 92103-2653
(619) 725-5501

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
235Z00000X
Speech-Language Pathologist
Primary
37510
CA

Other

Enumeration date
03/17/2021
Last updated
03/11/2026
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