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Organization
PEDIATRIC SPEECH THERAPY, LLC
Active
Organization
PEDIATRIC SPEECH THERAPY, LLC
Active
Other names
SMALL TALK WICHITA
Organization subpart
No
Provider details
NPI number
Authorized official
MARY CAITLIN SMITH SLP (OWNER)
(316) 210-5907
Entity
Organization
Contact information
Practice address
3707 E 3RD ST N, WICHITA, KS 67208-3230
(316) 210-5907
Mailing address
3700 E DOUGLAS AVE, STE 55, WICHITA, KS 67208-3700
(316) 210-5907
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
2603
KS
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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