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Organization
DAVEY PROFESSIONAL SERVICES LLC
Active
Organization
DAVEY PROFESSIONAL SERVICES LLC
Active
Other names
Shine Interactions LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRY KAY DAVEY SLP (SPEECH PATHOLOGIST)
(618) 541-2040
Entity
Organization
Contact information
Practice address
3454 VICKSBURG DR, EDWARDSVILLE, IL 62025
(618) 541-2040
(618) 692-0270
Mailing address
3454 VICKSBURG DRIVE, EDWARDSVILLE, IL 62025
(618) 541-2040
(618) 692-0270
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.007858
IL
252Y00000X
Early Intervention Provider Agency
146.007858
IL
Other
Enumeration date
05/15/2016
Last updated
01/10/2018
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