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Organization
ALLIEMSLP SPEECH THERAPY GROUP INC
Active
Organization
ALLIEMSLP SPEECH THERAPY GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA GLAZER M.S.CCC-SLP/L (OWNER)
(630) 715-9696
Entity
Organization
Contact information
Practice address
520 ELM ST # 24, SAN CARLOS, CA 94070-2249
(630) 715-9696
Mailing address
520 ELM ST # 24, SAN CARLOS, CA 94070-2249
(630) 715-9696
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487901690
—
IL
Enumeration date
03/28/2022
Last updated
03/28/2022
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