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Organization

LAKE COUNTY PEDIATRIC SPEECH & LANGUAGE THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARCEE JONES (ACCOUNT COORDINATOR)
(410) 824-1480
Entity
Organization

Contact information

Practice address
7537 MENTOR AVE STE 303, MENTOR, OH 44060-5463
(440) 567-7166
Mailing address
7537 MENTOR AVE STE 303, MENTOR, OH 44060-5463
(440) 567-7166

Taxonomy

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

Other

Enumeration date
02/10/2021
Last updated
08/01/2022
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