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Organization
ALLEN THERAPEUTICS, LLC
Active
Organization
ALLEN THERAPEUTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS RACQUEL SARITA ALLEN SLP-CCC (OWNER)
(404) 403-0250
Entity
Organization
Contact information
Practice address
5604 VILLAGE PKWY, UNION CITY, GA 30291-6102
(770) 964-0142
Mailing address
5604 VILLAGE PKWY, UNION CITY, GA 30291-6102
(770) 964-0142
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
713864
GA
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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