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Organization
KIDS SPEECH2GO LLC
Active
Organization
KIDS SPEECH2GO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL L STERN (OWNER/PRESIDENT)
(954) 649-7080
Entity
Organization
Contact information
Practice address
4848 NW 58TH MNR, COCONUT CREEK, FL 33073-2330
(954) 649-7080
Mailing address
4848 NW 58TH MANOR, COCONUT CREEK, FL 33073-2230
(954) 649-7080
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA4453
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010689700
EARLY STEPS MEDICAID
FL
05
—
883893300
—
FL
Enumeration date
05/07/2015
Last updated
05/07/2015
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