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Organization
DYNAMIC SPEECH THERAPY SERVICES
Active
Organization
DYNAMIC SPEECH THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE HICKMAN (OWNER)
(954) 257-2489
Entity
Organization
Contact information
Practice address
265 NW 105TH TER, CORAL SPRINGS, FL 33071-7913
(954) 257-2489
Mailing address
265 NW 105TH TER, CORAL SPRINGS, FL 33071-7913
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA12694
FL
Other
Enumeration date
01/02/2015
Last updated
01/02/2015
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