Individual
ALEX ETIENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1500 S CAWSTON AVE, HEMET, CA 92545-7056
(951) 791-1830
Mailing address
1500 S CAWSTON AVE, HEMET, CA 92545-7056
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
23072
CA
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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