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Organization
SMALL TALK INC
Active
Organization
SMALL TALK INC
Active
Other names
Small Talk
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE F WATTS MS CCC-SLP (DIRECTOR)
(904) 993-2143
Entity
Organization
Contact information
Practice address
8777 SAN JOSE BLVD STE 701, JACKSONVILLE, FL 32217-4292
(904) 733-8255
(904) 733-5034
Mailing address
8777 SAN JOSE BLVD STE 701, JACKSONVILLE, FL 32217-4292
(904) 733-8255
(904) 733-5034
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
N/A
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891087101
—
FL
05
—
901087100
—
FL
Enumeration date
10/19/2005
Last updated
03/12/2020
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