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Organization
SHAPING SPEECH, LLC
Active
Organization
SHAPING SPEECH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ROBERTSON M.A. CCC-SLP (MANAGING MEMBER)
(407) 690-2056
Entity
Organization
Contact information
Practice address
1358 TWIN RIVERS BLVD, OVIEDO, FL 32766-5082
(407) 690-2056
Mailing address
PO BOX 621454, OVIEDO, FL 32762-1454
(407) 690-2056
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 9884
FL
Other
Enumeration date
05/14/2009
Last updated
05/14/2009
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