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Individual

MRS. JACQULEN RAYLENE HAMILTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., CCC/SLP

Contact information

Practice address
2262 N 1ST ST, SAN JOSE, CA 95131-2022
(408) 337-2727
Mailing address
70 POPPY DR, ASHLAND, KY 41102-7955
(606) 836-0606

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2970
KY
235Z00000X
Speech-Language Pathologist
Primary
34865
CA
235Z00000X
Speech-Language Pathologist
8292
OH

Other

Enumeration date
03/03/2008
Last updated
01/24/2024
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