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Organization

SPECIALTY SPEECH THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUZANNE MARIE O'HAGAN (OWNER)
(323) 632-4353
Entity
Organization

Contact information

Practice address
2719 E IOWA AVE, NAMPA, ID 83686-7184
(323) 632-4353
Mailing address
2719 E IOWA AVE, NAMPA, ID 83686-7184
(323) 632-4353

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
12/09/2020
Last updated
12/09/2020
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