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Organization

SPEECH EVOLVE THERAPY SERVICES, LIMITED LIABILITY COMPANY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS JESSICA CIERRA CO CCC-SLP (OWNER/ SPEECH THERAPIST)
(404) 484-8685
Entity
Organization

Contact information

Practice address
3980 AMBROSE RIDGE CT, ELLENWOOD, GA 30294-6257
(404) 484-8685
Mailing address
3980 AMBROSE RIDGE CT, ELLENWOOD, GA 30294-6257
(404) 484-8685

Taxonomy

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

Other

Enumeration date
05/10/2020
Last updated
05/10/2020
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