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Organization
MODEL & ROOT SPEECH CO., LLC
Active
Organization
MODEL & ROOT SPEECH CO., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE BROWN (SPEECH-LANGUAGE PATHOLOGIST)
(919) 802-4871
Entity
Organization
Contact information
Practice address
2629 IRENE CIR, DULUTH, GA 30096-4147
(919) 802-4871
Mailing address
2629 IRENE CIR, DULUTH, GA 30096-4147
(919) 802-4871
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003226886A
—
GA
Enumeration date
06/27/2025
Last updated
08/11/2025
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