Individual
MRS. CARRIE JAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
20341 LIVORNO WAY, PORTER RANCH, CA 91326
(310) 463-5532
Mailing address
20341 LIVORNO WAY, PORTER RANCH, CA 91326-4094
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17809
CA
Other
Enumeration date
05/25/2017
Last updated
05/25/2017
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