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Organization
SPEECH PATHOLOGY SERVICES OF MARIN SONOMA INCORPORTATED
Active
Organization
SPEECH PATHOLOGY SERVICES OF MARIN SONOMA INCORPORTATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELAINE STEVICK M.A C.C.C.SLP (CEO CLINICAL DIRECTOR)
(707) 763-6419
Entity
Organization
Contact information
Practice address
1301 REDWOOD WAY, SUITE 165, PETALUMA, CA 94954-1107
(707) 763-6419
(707) 763-2537
Mailing address
1301 REDWOOD WAY, SUITE 165, PETALUMA, CA 94954-1107
(707) 763-6419
(707) 763-2537
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/10/2007
Last updated
08/22/2020
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