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Organization
PROFICIO SPEECH THERAPY GROUP, INC.
Active
Organization
PROFICIO SPEECH THERAPY GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ARUNA RADHAKRISHNAN M.A, CCC-SLP (PRESIDENT)
(707) 344-1771
Entity
Organization
Contact information
Practice address
1005 WESTCHESTER CT, FAIRFIELD, CA 94533-9775
(707) 344-1771
Mailing address
1005 WESTCHESTER CT, FAIRFIELD, CA 94533-9775
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 16932
CA
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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