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Organization
RAVEN SPEECH THERAPY
Active
Organization
RAVEN SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCOA MAISHA BROWNLEE MA CCC-SLP (CEO/OWNER)
(714) 588-3637
Entity
Organization
Contact information
Practice address
21733 VISTA RD, CEDARPINES PARK, CA 92322-9232
(714) 588-3637
Mailing address
PO BOX 9124, CEDARPINES PARK, CA 92322-9124
(714) 588-3637
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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