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Organization
KINGDOM THERAPY LLC
Active
Organization
KINGDOM THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE MARRERO (OWNER)
(407) 922-3022
Entity
Organization
Contact information
Practice address
12550 SE 115TH ST, OCKLAWAHA, FL 32179-4821
(407) 922-3022
Mailing address
12550 SE 115TH ST, OCKLAWAHA, FL 32179-4821
(407) 922-3022
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/06/2025
Last updated
08/12/2025
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