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1215280995
MEGHAN WIDERBERG
ENCINO, CA
NPI
1215280995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA SP 19684)
Enumeration Date
2012-10-18
Last Update Date
2012-10-22
Business Address
-- MEGHAN WIDERBERG SLP
16500 VENTURA BLVD STE 414
ENCINO, CA 91436-5050
Phone number: 818-788-1003
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Mailing Address
-- MEGHAN WIDERBERG SLP
4420 CARPENTER AVE
STUDIO CITY, CA 91607-4111
Phone number: 818-788-1003
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