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Organization
SPRINGBOARD THERAPY SERVICES, INC
Active
Organization
SPRINGBOARD THERAPY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VONNETTA J.L GIDLEY SPEECH- LANGUAGE PAT (CHIEF EXECUTIVE OFFICER)
(202) 725-1196
Entity
Organization
Contact information
Practice address
306 WINDING HILLS DR, CLINTON, MS 39056-4166
(202) 725-1196
(601) 385-3550
Mailing address
306 WINDING HILLS DR, CLINTON, MS 39056-4166
(202) 725-1196
(601) 385-3550
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3895
MS
Other
Enumeration date
10/02/2015
Last updated
10/02/2015
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