Individual
MRS. GABRIELLA LOVATO TICKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
1034 W OAK GROVE RD, MONTROSE, CO 81403-4757
(970) 596-7446
Mailing address
1113 AMHERST AVE, LOS ANGELES, CA 90049-5805
(310) 857-8497
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
CA
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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