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Organization
MLS SPEECH PATHOLOGY INC.
Active
Organization
MLS SPEECH PATHOLOGY INC.
Active
Other names
Making Learning Special
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MADONNA LAZO-SMITH MA CCC-SLP (OWNER/CEO)
(408) 905-6127
Entity
Organization
Contact information
Practice address
330 N BRAND BLVD STE 700, GLENDALE, CA 91203-2336
(408) 905-6127
Mailing address
7042 AZURE BEACH ST, LAS VEGAS, NV 89148-2856
(408) 905-6127
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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