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Organization
THE SPEECH THERAPY CLOSET
Active
Organization
THE SPEECH THERAPY CLOSET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINA L HAISLIP MS CCC SLP (OWNER/SPEECH LANGUAGE PATHOLOGIST)
(904) 233-4552
Entity
Organization
Contact information
Practice address
5213 BASCO CT, ELKTON, FL 32033-4028
(904) 233-4552
(904) 677-7800
Mailing address
450 STATE ROAD 13, SUITE 106 - 235, JACKSONVILLE, FL 32259-3860
(904) 677-7800
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/28/2007
Last updated
09/28/2007
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