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Organization
SPEECH THERAPY VENUE INC
Active
Organization
SPEECH THERAPY VENUE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA BROWN MS CCC (SLP)
(805) 587-9387
Entity
Organization
Contact information
Practice address
450 COUNTRY CLUB DR APT C, SIMI VALLEY, CA 93065-6647
(805) 587-9387
Mailing address
1230 MADERA RD STE 5, SIMI VALLEY, CA 93065-4046
(805) 587-9387
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/24/2022
Last updated
06/06/2022
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