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Organization
MIDWEST SPEECH THERAPY, LLC
Active
Organization
MIDWEST SPEECH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE L COFFARO (OWNER, SPEECH LANGUAGE PATHOLOGIST)
(513) 205-3401
Entity
Organization
Contact information
Practice address
440 N VERITY PKWY, MIDDLETOWN, OH 45042-2129
(513) 205-3401
Mailing address
142 EDISON DR, MIDDLETOWN, OH 45044-3269
(513) 205-3401
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11143
OH
Other
Enumeration date
10/20/2016
Last updated
11/18/2019
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