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Organization
SHINING STARS SPEECH AND LANGUAGE THERAPY CORP.
Active
Organization
SHINING STARS SPEECH AND LANGUAGE THERAPY CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISSETTE MERCEDES HERNANDEZ M.S., CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(305) 801-9365
Entity
Organization
Contact information
Practice address
9601 SW 142ND AVE, 611, MIAMI, FL 33186-7327
(305) 801-9365
Mailing address
9601 SW 142ND AVE, 611, MIAMI, FL 33186-7327
(305) 801-9365
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA11924
FL
Other
Enumeration date
04/25/2013
Last updated
04/25/2013
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