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Organization
SPEECH PATHWAYS, LLC
Active
Organization
SPEECH PATHWAYS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MACKENZIE MARIE WITTROCK MA, CCC-SLP (SPEECH LANGUAGE PATHOLOGIST/OWNER)
(712) 210-4302
Entity
Organization
Contact information
Practice address
408 W 8TH ST, CARROLL, IA 51401-2325
(712) 210-4302
Mailing address
1831 QUINT AVE, CARROLL, IA 51401-3566
(712) 210-4302
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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