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Organization
OUTSHINE SPEECH THERAPY
Active
Organization
OUTSHINE SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHABNAM MOEINI SPEECH THERAPIST (PROGRAM COORDINATOR)
(760) 410-8487
Entity
Organization
Contact information
Practice address
2647 GATEWAY ROAD SUIT # 105, CARLSBAD, CA 92009
(760) 410-8487
Mailing address
2647 GATEWAY RD STE 105, CARLSBAD, CA 92009-1757
(760) 410-8487
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/11/2018
Last updated
09/28/2018
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