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Organization
POM POM SPEECH & LANGUAGE THERAPY, INC.
Active
Organization
POM POM SPEECH & LANGUAGE THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLIE PUCKETT M.A., CCC-SLP (OWNER/ SPEECH THERAPIST)
(661) 993-8037
Entity
Organization
Contact information
Practice address
324 E AEROPLANE BLVD., BIG BEAR CITY, CA 92314
(661) 993-8037
Mailing address
PO BOX 2049, BIG BEAR CITY, CA 92314-2049
(661) 993-8037
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
06/02/2024
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