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Organization

CHILDRENS SPEECH THERAPY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. RHODA-MARIE LUM YOU M.S., CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(954) 675-5336
Entity
Organization

Contact information

Practice address
10561 NW 11TH CT, PLANTATION, FL 33322-6563
(954) 675-5336
Mailing address
10561 NW 11TH CT, PLANTATION, FL 33322-6563
(954) 675-5336

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA7898
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002662300
FL
05
004712700
FL
Enumeration date
07/16/2014
Last updated
07/16/2014
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