Organization
A SPEECH STORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA DUKE CCC-SLP (OWNER)
(907) 215-3715
Entity
Organization
Contact information
Practice address
110 N WILLOW ST, KENAI, AK 99611-7797
(907) 215-3785
(907) 215-3780
Mailing address
49780 EIDER DR, KENAI, AK 99611-6470
(907) 215-3785
(907) 215-3780
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170047
—
AK
Enumeration date
09/19/2022
Last updated
09/19/2022
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