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Organization
UNIVERSITY OF SOUTH ALABAMA
Active
Organization
UNIVERSITY OF SOUTH ALABAMA
Active
Other names
USA Pediatric Therapy - Speech Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN OWEN BAILEY (CEO)
(251) 471-7118
Entity
Organization
Contact information
Practice address
1610 CENTER ST STE B, MOBILE, AL 36604-1512
(251) 415-1670
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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