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Organization
MILESTONE SPEECH THERAPY, INC
Active
Organization
MILESTONE SPEECH THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN J. FONDEVILLA-PEREZ M.S. CCC-SLP (OWNER/PRESIDENT)
(818) 245-6718
Entity
Organization
Contact information
Practice address
210 N CENTRAL AVE STE 200, GLENDALE, CA 91203-2536
(818) 245-6718
(818) 245-6719
Mailing address
210 N CENTRAL AVE STE 200, GLENDALE, CA 91203-2536
(818) 245-6718
(818) 245-6719
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15483
CA
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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