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Organization
SMALL TALK SLP LLC
Active
Organization
SMALL TALK SLP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASHLEY TUCKER MA CCC-SLP (OWNER)
(850) 559-7884
Entity
Organization
Contact information
Practice address
6746 WALDEN CIR, TALLAHASSEE, FL 32317-8485
(850) 559-7884
(850) 727-0824
Mailing address
6746 WALDEN CIR, TALLAHASSEE, FL 32317-8485
(850) 559-7884
(850) 727-0824
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 9219
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006532500
—
FL
05
—
890824900
—
FL
Enumeration date
05/22/2013
Last updated
05/22/2013
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