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Individual

CHELSEY ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2820 CAMINO DEL RIO S, #308, SAN DIEGO, CA 92108-3821
(619) 546-0039
(619) 546-0037
Mailing address
2820 CAMINO DEL RIO S, #308, SAN DIEGO, CA 92108-3821
(619) 546-0039
(619) 546-0037

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10570
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
45-5107709
TAX ID
CA
Enumeration date
06/15/2016
Last updated
06/15/2016
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