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Individual

CASSANDRA RANDOLPH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
3420 BRISTOL ST FL 6, COSTA MESA, CA 92626-7170
(714) 794-2034
Mailing address
412 OLIVE AVE # 177, HUNTINGTON BEACH, CA 92648-5142
(714) 951-1534

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
35561
CA

Other

Enumeration date
03/14/2024
Last updated
03/14/2024
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