Individual
ELLICE LACERDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
141 WELLESLEY CRES, APT 203, REDWOOD CITY, CA 94062-1746
(818) 515-2340
Mailing address
141 WELLESLEY CRES, APT 203, REDWOOD CITY, CA 94062-1746
(818) 515-2340
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
21152
CA
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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