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1184255804
MELISSA FREDERICKSON
SAN DIEGO, CA
NPI
1184255804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 15524)
Enumeration Date
2020-01-31
Last Update Date
2020-11-19
Business Address
MELISSA FREDERICKSON MS, CCC/SLP
15004 INNOVATION DR
SAN DIEGO, CA 92128-3491
Phone number: 858-605-7189
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Mailing Address
MELISSA FREDERICKSON MS, CCC/SLP
10790 RANCHO BERNARDO RD # 4S-205
SAN DIEGO, CA 92127-5705
Phone number: 858-605-9866
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