Organization
FIRST WORDS SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISHA PUCKETT (SPEECH PATHOLOGIST)
(219) 363-2832
Entity
Organization
Contact information
Practice address
4821 W JOLIET RD, LA PORTE, IN 46350-9397
(219) 363-2832
Mailing address
4821 W JOLIET RD, LA PORTE, IN 46350-9397
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/15/2010
Last updated
08/15/2010
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