Organization
EAST PASCO SPEECH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA MABRY M.A.CCC-SLP CBIS (MANAGER)
(901) 413-0495
Entity
Organization
Contact information
Practice address
12236 WOODLANDS CIR, DADE CITY, FL 33525-8287
(901) 413-0495
Mailing address
12236 WOODLANDS CIR, DADE CITY, FL 33525-8287
(901) 413-0495
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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