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Organization
JESSICA LAKE SPEECH THERAPY LLC
Active
Organization
JESSICA LAKE SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA LAKE M.S. CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(310) 903-1034
Entity
Organization
Contact information
Practice address
93 SLADE ST, BELMONT, MA 02478-2225
(310) 903-1034
Mailing address
93 SLADE ST, BELMONT, MA 02478-2225
(310) 903-1034
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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