Individual
MARY ELLEN CASNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
19019 VENTURA BLVD, TARZANA, CA 91356-3253
(818) 530-7975
Mailing address
421 S LA FAYETTE PARK PL APT 225, LOS ANGELES, CA 90057-1630
(915) 204-4963
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
4813
CA
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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