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Individual

GISELLE ODALYS CARRASCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
X

Contact information

Practice address
1936 HUNTINGTON DR STE D, SOUTH PASADENA, CA 91030-4859
(626) 460-6320
Mailing address
727 WILLIAMSON AVE, LOS ANGELES, CA 90022-3412

Taxonomy

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

Other

Enumeration date
02/28/2026
Last updated
02/28/2026
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