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Organization

CHRISTINE LEE STANTON, M.S., CCC/SLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CHRISTINE LEE STANTON M.S., CCC/SLP (SPEECH-LANGUAGE PATHOLOGIST)
(949) 922-7703
Entity
Organization

Contact information

Practice address
445 ENCLAVE CIR, SUITE 305, COSTA MESA, CA 92626-8214
(949) 922-7703
Mailing address
3300 IRVINE AVE, SUITE 111, NEWPORT BEACH, CA 92660-3109
(949) 922-7703

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
SP9045
CA

Other

Enumeration date
07/30/2014
Last updated
07/30/2014
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