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Organization
TINY VOICES THERAPY PC
Active
Organization
TINY VOICES THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTI KAY BOURISAW MA CCC/SLP/L (PRESIDENT)
(636) 565-4112
Entity
Organization
Contact information
Practice address
2627 LAKESHORE DR, COLUMBIA, IL 62236-2657
(636) 565-4112
(636) 590-9969
Mailing address
2627 LAKESHORE DR, COLUMBIA, IL 62236-2657
(636) 565-4112
(636) 590-9969
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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