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Organization
THERAPLAY JAX LLC
Active
Organization
THERAPLAY JAX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA WILSON MA, CCC-SLP (OWNER)
(850) 982-6348
Entity
Organization
Contact information
Practice address
13475 ATLANTIC BLVD STE 8, JACKSONVILLE, FL 32225-3290
(850) 982-6348
Mailing address
12925 DEEP LAGOON PL E, JACKSONVILLE, FL 32246-1048
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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