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Organization
ILLUMINATE PEDIATRIC THERAPIES LLC
Active
Organization
ILLUMINATE PEDIATRIC THERAPIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANA CLAIRE CABIBBO GILLIAMS M.S., CCC-SLP (OWNER/SPEECH-LANGUAGE PATHOLOGIST)
(845) 242-6369
Entity
Organization
Contact information
Practice address
3806 CLAREMONT ST, BALTIMORE, MD 21224-2510
(845) 242-6369
Mailing address
3717 BOSTON ST # 344, BALTIMORE, MD 21224-5752
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
02/10/2023
Last updated
10/03/2023
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