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Organization
SPEECH CLINIC, INC
Active
Organization
SPEECH CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TINA MARKS M.S., CCC-SLP (OWNER)
(337) 331-2096
Entity
Organization
Contact information
Practice address
421 S 4TH ST, EUNICE, LA 70535-5301
(337) 331-2096
Mailing address
11306 HIGHWAY 190, OPELOUSAS, LA 70570-2419
(337) 331-2096
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5058
LA
Other
Enumeration date
05/11/2007
Last updated
08/22/2020
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