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Organization
UNION SPEECH SOLUTIONS, LLC
Active
Organization
UNION SPEECH SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA CUNNINGHAM MA CCC/SLP (SPEECH LANGUAGE PATHOLOGIST)
(386) 623-1685
Entity
Organization
Contact information
Practice address
495 NE 3RD ST, LAKE BUTLER, FL 32054-1209
(386) 623-1685
Mailing address
495 NE 3RD ST, LAKE BUTLER, FL 32054-1209
(386) 623-1685
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA2740
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002376700
—
FL
Enumeration date
11/12/2015
Last updated
11/12/2015
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