Organization
FRESH START SPEECH THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE RENEE MIRLAS CCC-SLP, TSSLD (SPEECH PATHOLOGIST)
(347) 583-0304
Entity
Organization
Contact information
Practice address
1480 E 71ST ST, BROOKLYN, NY 11234-5730
(347) 583-0304
Mailing address
1480 E 71ST ST, BROOKLYN, NY 11234-5730
(347) 583-0304
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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