Individual
MRS. CORRIE BETH RAPHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2208 CAMINO RAMON, SUITE B, SAN RAMON, CA 94583-1328
(925) 830-5513
Mailing address
39 EL GAVILAN RD, ORINDA, CA 94563-1907
(925) 528-9976
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15951
CA
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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