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Organization
POPPY CHILDRENS THERAPY
Active
Organization
POPPY CHILDRENS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAYNE JAY WEISS MHS, CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(989) 992-7918
Entity
Organization
Contact information
Practice address
1308 NEW CASTLE DR, LIBERTYVILLE, IL 60048-5307
(989) 992-7918
Mailing address
1308 NEW CASTLE DR, LIBERTYVILLE, IL 60048-5307
(989) 992-7918
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184074296
—
IL
Enumeration date
12/27/2024
Last updated
12/27/2024
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