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Organization
KM SPEECH THERAPY LLC
Active
Organization
KM SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA ANDREA MELLIBOSKY SLP (SLP/OWNER)
(818) 723-4234
Entity
Organization
Contact information
Practice address
15315 MAGNOLIA BLVD STE 426, SHERMAN OAKS, CA 91403-1177
(818) 723-4234
Mailing address
25335 VIA TELINO, VALENCIA, CA 91355-2726
(818) 723-4234
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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