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Organization
MOMENTUM SPEECH THERAPY INC
Active
Organization
MOMENTUM SPEECH THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SEMETRAH ALIMA KINCANNON CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(760) 278-1484
Entity
Organization
Contact information
Practice address
14369 PARK AVE STE 201A, VICTORVILLE, CA 92392-2300
(760) 278-1484
(855) 719-2558
Mailing address
12722 SILVER SPUR WAY, VICTORVILLE, CA 92392-7437
(760) 694-3240
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/21/2021
Last updated
08/29/2024
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