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Organization
AMY'S SPEECH SHOP L.L.C
Active
Organization
AMY'S SPEECH SHOP L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY-MARETTE RUSSELL M.S., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(907) 350-5363
Entity
Organization
Contact information
Practice address
1616 HARDWOOD CT, ANCHORAGE, AK 99507-1970
(907) 350-5363
Mailing address
1616 HARDWOOD CT, ANCHORAGE, AK 99507-1970
(907) 350-5363
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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