Individual
MRS. AUDRA MARIE HALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC- SLP
Contact information
Practice address
10 MARISOL ST, RANCHO MISSION VIEJO, CA 92694-1393
(619) 204-1989
Mailing address
10 MARISOL ST, RANCHO MISSION VIEJO, CA 92694-1393
(619) 204-1989
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
21661
CA
235Z00000X
Speech-Language Pathologist
8202
CA
Other
Enumeration date
03/25/2013
Last updated
08/03/2022
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