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1124485495
ELISABETH ANNE BALCOM
MADERA, CA
NPI
1124485495
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Former Name
BETSY JORGENSEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA sp16633)
Enumeration Date
2016-01-18
Last Update Date
2019-12-13
Business Address
Mrs. ELISABETH ANNE BALCOM M.A.,CCC/SLP
12778 ROAD 37 1/2
MADERA, CA 93636-8757
Phone number: 559-430-8239
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Mailing Address
Mrs. ELISABETH ANNE BALCOM M.A.,CCC/SLP
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222-4628
Phone number:
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