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Organization
MINDFUL SPEECH PATH
Active
Organization
MINDFUL SPEECH PATH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE DELISSER MHS-CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(347) 720-2773
Entity
Organization
Contact information
Practice address
6228 FULTON AVE APT 204, VAN NUYS, CA 91401-2553
(347) 720-2773
Mailing address
6228 FULTON AVE APT 204, VAN NUYS, CA 91401-2553
(347) 720-2773
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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