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Organization
TAVVY SPEECH THERAPY SERVICES LLC
Active
Organization
TAVVY SPEECH THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE LEIGH TAVRISOV M.S. CCC-SLP (OWNER, SPEECH LANGUAGE PATHOLOGIST)
(904) 910-1065
Entity
Organization
Contact information
Practice address
11420 CAMPFIELD CIR, JACKSONVILLE, FL 32256-3907
(904) 910-1065
Mailing address
11420 CAMPFIELD CIR, JACKSONVILLE, FL 32256-3907
(904) 910-1065
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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