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Jillian Kusumoto, M.S., CCC-SLP

Speech-Language Pathologist, in Torrance, CA. Individual provider (NPI-1).

NPI number1396258802
StatusActive
Last updated in NPPESNov 7, 2017

Details

NPI
1396258802
Entity type
Individual (NPI-1)
Name
Jillian Kusumoto
Credential
M.S., CCC-SLP
Sex
Female
Sole proprietor
No
Enumeration date
Nov 7, 2017
Last updated
Nov 7, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,25945CAYes

Practice location

1815 W 213th St Ste 100
Torrance, CA 90501-2852

Phone 310-328-0276

Mailing address

1815 W 213th St Ste 100
Torrance, CA 90501-2852

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