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Organization
SEASIDE SPEECH, LLC
Active
Organization
SEASIDE SPEECH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE LASKEY WALLACE MS, CCC-SLP (OWNER / SPEECH-LANGUAGE PATHOLOGIST)
(561) 282-1136
Entity
Organization
Contact information
Practice address
2401 COUNTRY OAKS LN, WEST PALM BEACH, FL 33410-2009
(561) 282-1136
Mailing address
2401 COUNTRY OAKS LN, WEST PALM BEACH, FL 33410-2009
(561) 282-1136
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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