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Organization
SPEECH ABILITIES THERAPY CORP.
Active
Organization
SPEECH ABILITIES THERAPY CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESLIE ROUCO M.S. CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(786) 431-5140
Entity
Organization
Contact information
Practice address
5580 W 16TH AVE, SUITE 201, HIALEAH, FL 33012-2189
(786) 431-5140
(305) 827-0953
Mailing address
5580 W 16TH AVE, SUITE 201, HIALEAH, FL 33012-2189
(786) 431-5140
(305) 827-0953
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA6196
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
892896700
—
FL
Enumeration date
02/24/2010
Last updated
02/24/2010
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