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Organization
MIGHTY SPEECHWORKS INC
Active
Organization
MIGHTY SPEECHWORKS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AUDREY NATASHA MIGHTY-HARMON MS CCC SLP L (PRESIDENT SPEECH LANGUAGE PATHOLOGI)
(773) 412-9824
Entity
Organization
Contact information
Practice address
9923 SOUTH RIDGELAND AVE, SUITE 131, CHICAGO RIDGE, IL 60415-1262
(773) 412-9824
(773) 445-0350
Mailing address
9923 SOUTH RIDGELAND AVE, SUITE 131, CHICAGO RIDGE, IL 60415-1262
(773) 412-9824
(773) 445-0350
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635357
BLUECROSS BLUESHIELD
IL
Enumeration date
06/24/2006
Last updated
08/22/2020
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