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Individual

MR. BAILEY VENKATRAMAN LEVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, SLP

Contact information

Practice address
3150 18TH ST, SAN FRANCISCO, CA 94110-2074
(415) 496-6757
Mailing address
PO BOX 318003, SAN FRANCISCO, CA 94131-8003
(415) 496-6757

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
20591
CA

Other

Enumeration date
03/04/2013
Last updated
03/04/2013
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