Organization
GROW BOLDLY SPEECH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTYN KENDRICK CULLEN MA, CCC-SLP (OWNER)
(904) 537-1659
Entity
Organization
Contact information
Practice address
1038 WILMOT PL, ST JOHNS, FL 32259-5948
(904) 297-5483
Mailing address
1038 WILMOT PL, ST JOHNS, FL 32259-5948
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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