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Organization
SMALL TALK SPEECH THERAPY LLC
Active
Organization
SMALL TALK SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA KAY WYLIE M.A. (OWNER)
(260) 625-4323
Entity
Organization
Contact information
Practice address
2229 CALAIS RD, FORT WAYNE, IN 46814-9179
(260) 625-4323
(260) 625-3179
Mailing address
2229 CALAIS RD, FORT WAYNE, IN 46814-9179
(260) 625-4323
(260) 625-3179
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003447A
IN
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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