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1134770316
KATIE MAULANA MARDAYAT
ENCINO, CA
NPI
1134770316
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 14045)
Enumeration Date
2019-09-27
Last Update Date
2019-09-27
Business Address
KATIE MAULANA MARDAYAT M.S., CF-SLP
16500 VENTURA BLVD STE 414
ENCINO, CA 91436-5050
Phone number: 818-788-1003
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Mailing Address
KATIE MAULANA MARDAYAT M.S., CF-SLP
16500 VENTURA BLVD STE 414
ENCINO, CA 91436-5050
Phone number: 818-788-1003
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