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Individual

DMANDA PRICE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
20820 EARL ST, TORRANCE, CA 90503-4307
(310) 371-1228
Mailing address
283 ELBERON AVE, PATERSON, NJ 07502-1324
(973) 356-7010

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
116143
TX
235Z00000X
Speech-Language Pathologist
Primary
14144646
235Z00000X
Speech-Language Pathologist
30604
CA
235Z00000X
Speech-Language Pathologist
41YS01054700
NJ

Other

Enumeration date
12/07/2020
Last updated
12/07/2020
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