Organization
CALIFORNIA THERACARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERIN KAYE KEENEY M.S., CCC-SLP (CLINICAL DIRECTOR)
(209) 576-7280
Entity
Organization
Contact information
Practice address
5225 PENTECOST DR, SUITE 26, MODESTO, CA 95356-9284
(209) 576-7280
(209) 576-7275
Mailing address
5225 PENTECOST DR, SUITE 26, MODESTO, CA 95356-9284
(209) 576-7280
(209) 576-7275
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13753
CA
Other
Enumeration date
12/27/2007
Last updated
04/08/2008
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