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Organization
EVERGREEN SPEECH THERAPY LLC
Active
Organization
EVERGREEN SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY FRANCES MAGUIRE M.A. CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(914) 200-4464
Entity
Organization
Contact information
Practice address
2 BRYANT CRES APT 2G, WHITE PLAINS, NY 10605-2623
(914) 200-4464
Mailing address
2 BRYANT CRES APT 2G, WHITE PLAINS, NY 10605-2623
(914) 200-4464
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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