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Individual

JAIMI POLLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7420 FULLERTON RD STE 110, SPRINGFIELD, VA 22153-2836
(301) 477-7194
Mailing address
5132 N PALM AVE, FRESNO, CA 93704-2236

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
10/15/2021
Last updated
06/17/2025
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