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Organization
KANGA DYSLEXIA AND THERAPY SERVICES
Active
Organization
KANGA DYSLEXIA AND THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA COPPLE (PRESIDENT)
(863) 409-2994
Entity
Organization
Contact information
Practice address
125 BREAM ST, HAINES CITY, FL 33844-9621
(863) 409-2994
(863) 438-7064
Mailing address
PO BOX 3983, LAKE WALES, FL 33859-3983
(863) 409-2994
(863) 438-7064
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002119000
—
FL
05
—
9000176345
—
CO
Enumeration date
01/28/2020
Last updated
01/28/2020
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