Organization
SPARKLE 'WHERE OUR VOICES SHINE' INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEAUNNA S KNOX (PROGRAM DIRECTOR)
(626) 594-5409
Entity
Organization
Contact information
Practice address
420 W BASELINE RD STE D, GLENDORA, CA 91740-4817
(626) 594-5409
Mailing address
420 W BASELINE RD STE E, GLENDORA, CA 91740-4817
(626) 594-5409
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
05/16/2019
Last updated
05/16/2019
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