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Organization
THRIVE THERAPY & SOCIAL CENTER
Active
Organization
THRIVE THERAPY & SOCIAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITRA AHANI CCC-SLP (PROGRAM DIRECTOR)
(408) 484-1028
Entity
Organization
Contact information
Practice address
25 POST ST, SAN JOSE, CA 95113-2411
(408) 484-1028
Mailing address
25 POST ST, SAN JOSE, CA 95113-2411
(408) 484-1028
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13446
CA
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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