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Organization

JABBERDOGS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE MASEK MS CCC-SLP (OWNER CEO)
(626) 824-1204
Entity
Organization

Contact information

Practice address
1898 SANTA ROSA AVE, PASADENA, CA 91104-1131
(626) 824-1204
Mailing address
1898 SANTA ROSA AVE, PASADENA, CA 91104-1131

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
24330
CA

Other

Enumeration date
02/05/2017
Last updated
02/05/2017
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