Individual
CHARLOTTE PATRICIA HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19019 VENTURA BLVD, TARZANA, CA 91356-3253
(818) 501-8352
Mailing address
19019 VENTURA BLVD, TARZANA, CA 91356-3253
(818) 501-8352
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30483
CA
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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