Organization
COMMUNICATING MEANINGFUL MESSAGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECILIA DEATHERAGE (OWNER)
(907) 252-1567
Entity
Organization
Contact information
Practice address
37041 RAFIE ST, SOLDOTNA, AK 99669-6506
(907) 252-1567
Mailing address
37041 RAFIE ST, SOLDOTNA, AK 99669-6506
(907) 252-1567
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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