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Organization
LITTLE KIDS SPEECH THERAPY, INC.
Active
Organization
LITTLE KIDS SPEECH THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARCY ATIA RAK M.S. CCC-SLP (OWNER/PRESIDENT)
(618) 792-3503
Entity
Organization
Contact information
Practice address
500 COPPER BEND RD, MARYVILLE, IL 62062-5688
(618) 792-3503
(618) 288-9276
Mailing address
500 COPPER BEND RD, MARYVILLE, IL 62062-5688
(618) 792-3503
(618) 288-9276
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
08/10/2007
Last updated
08/10/2007
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