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1750631719
LORETTA ELIZABETH DITTRICH
MODESTO, CA
NPI
1750631719
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA SP 7919)
Enumeration Date
2012-09-17
Last Update Date
2012-09-17
Business Address
-- LORETTA ELIZABETH DITTRICH CCC-SLP
1809 SAVOIE WAY
MODESTO, CA 95356-8947
Phone number: 209-679-0133
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Mailing Address
-- LORETTA ELIZABETH DITTRICH CCC-SLP
PO BOX 576649
MODESTO, CA 95357-6649
Phone number: 209-571-8330
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