Individual
ELIZABETH DASE RACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
2021 YGNACIO VALLEY RD, WALNUT CREEK, CA 94598-3391
(925) 945-1474
Mailing address
899 AUGUSTA DR, MORAGA, CA 94556-1049
(925) 377-8122
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8783
CA
Other
Enumeration date
07/25/2008
Last updated
07/01/2024
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