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Organization

PONTE VEDRA SPEECH LANGUAGE AND LEARNING LLC

Active
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Organization

PONTE VEDRA SPEECH LANGUAGE AND LEARNING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SONYA MARIE OLSEN CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(904) 844-3136
Entity
Organization

Contact information

Practice address
171 SUMMER MESA AVE, PONTE VEDRA, FL 32081-6143
(904) 404-2345
Mailing address
171 SUMMER MESA AVE, PONTE VEDRA, FL 32081-6143
(904) 404-2345

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
06/19/2023
Last updated
07/09/2023
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