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Organization
M & M CHILDREN'S SERVICES
Active
Organization
M & M CHILDREN'S SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARET MARY TICICH SPEECH THERAPIST (OWNER PARTNER)
(951) 587-6405
Entity
Organization
Contact information
Practice address
27520 ENTERPRISE CIR W STE B, TEMECULA, CA 92590-4828
(951) 587-6405
Mailing address
27520 ENTERPRISE CIR W STE B, TEMECULA, CA 92590-4828
(951) 587-6405
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT 2862
CA
235Z00000X
Speech-Language Pathologist
Primary
SP 4960
CA
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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