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Individual

GRACE YANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
14116 BAY ST, LA MIRADA, CA 90638-3501
(213) 369-9886
Mailing address
14116 BAY ST, LA MIRADA, CA 90638-3501
(213) 369-9886

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30152
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30152
SPEECH PATHOLOGIST LICENSE
CA
Enumeration date
09/16/2021
Last updated
05/30/2025
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