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Individual

MS. JACQUELINE MARIE INGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
291 S LA CIENEGA BLVD, SUITE 409, BEVERLY HILLS, CA 90211-3325
(310) 289-1157
Mailing address
13636 VENTURA BLVD, # 339, SHERMAN OAKS, CA 91423-3700
(818) 769-5490

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13984
CA

Other

Enumeration date
03/12/2007
Last updated
07/08/2007
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