Organization
CL SPEECH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LILLIAM MANRIQUE (MANAGER)
(305) 467-6561
Entity
Organization
Contact information
Practice address
8025 SW 107TH AVE APT 315, MIAMI, FL 33173-4836
(305) 467-6561
(708) 390-4745
Mailing address
8025 SW 107TH AVE APT 315, MIAMI, FL 33173-4836
(305) 467-6561
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 11495
FL
Other
Enumeration date
01/26/2013
Last updated
01/26/2013
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