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Organization
SPEECH TIME LLC.
Active
Organization
SPEECH TIME LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON MICHAEL O'MALLEY (ADMINISTRATOR)
(763) 682-9011
Entity
Organization
Contact information
Practice address
998 BARTON AVE NW, BUFFALO, MN 55313-4401
(763) 682-9011
(763) 682-9011
Mailing address
998 BARTON AVE NW, BUFFALO, MN 55313-4401
(763) 682-9011
(763) 682-9011
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7720
MN
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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