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Organization
FUNCTIONAL SPEECH THERAPY INC
Active
Organization
FUNCTIONAL SPEECH THERAPY INC
Active
Other names
Functional Speech Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN WRIGHT GONZALEZ MS. CCC-SLP (CEO)
(949) 547-3909
Entity
Organization
Contact information
Practice address
340 VIA VISTA DR, REDLANDS, CA 92373-7157
(949) 547-3909
Mailing address
340 VIA VISTA DR, REDLANDS, CA 92373-7157
(949) 547-3909
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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