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Organization
SPROUT SPEECH AND LANGUAGE PATHOLOGY, INC.
Active
Organization
SPROUT SPEECH AND LANGUAGE PATHOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRI ELKAIM (OWNER)
(818) 209-0427
Entity
Organization
Contact information
Practice address
4329 GENTRY AVE, STUDIO CITY, CA 91604-1706
(818) 209-0427
Mailing address
4329 GENTRY AVE, STUDIO CITY, CA 91604-1706
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16130
CA
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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