DESIREE CONTRERAS-PROVOST

OAKLAND, CA
NPI1285221101
Professional NameDESIREE PROVOST
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  32962)
Enumeration Date2020-12-26
Last Update Date2023-10-12
Business Address
DESIREE CONTRERAS-PROVOST SLP
2910 MCCLURE ST
OAKLAND, CA 94609-3505
Phone number: 510-836-3677
Mailing Address
DESIREE CONTRERAS-PROVOST SLP
8243 APPLE COVE CT
SACRAMENTO, CA 95828-5711
Phone number: 916-897-0549
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