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Organization
COASTAL KIDS SPEECH THERAPY LLC
Active
Organization
COASTAL KIDS SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY PRUNTY MA CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(248) 318-2992
Entity
Organization
Contact information
Practice address
2953 BREEZY RD, VIRGINIA BEACH, VA 23451-1509
(248) 318-2992
Mailing address
2953 BREEZY RD, VIRGINIA BEACH, VA 23451-1509
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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