Individual
LORI CARSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 S CHAPARRAL CT STE 110, ANAHEIM, CA 92808-2239
(714) 282-8852
(714) 282-8876
Mailing address
12571 CHARLOMA DR, TUSTIN, CA 92780-2807
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA843
CA
Other
Enumeration date
07/16/2016
Last updated
07/16/2016
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