LACEY MICHELLE ELLSWORTH

SAN DIEGO, CA
NPI1164940508
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  24933)
Enumeration Date2017-09-06
Last Update Date2017-09-06
Business Address
LACEY MICHELLE ELLSWORTH M.S., CCC-SLP
9620 CHESAPEAKE DR STE 103
SAN DIEGO, CA 92123-1324
Phone number: 559-707-0821
Mailing Address
LACEY MICHELLE ELLSWORTH M.S., CCC-SLP
321 10TH AVE UNIT 1302
SAN DIEGO, CA 92101-7484
Phone number:
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