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Organization
COMMUNICATING OUR WAY SPEECH AND LANGUAGE PATHOLOGY OUTPATIENT SERVICE
Active
Organization
COMMUNICATING OUR WAY SPEECH AND LANGUAGE PATHOLOGY OUTPATIENT SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRESA KEYONNA PHILLIPS M.S., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST/ OWNER)
(281) 662-5107
Entity
Organization
Contact information
Practice address
2417 HIGHLAND DR, VIOLET, LA 70092-2962
(281) 662-5107
Mailing address
2417 HIGHLAND DR, VIOLET, LA 70092-2962
(281) 662-5107
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
NULL
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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