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Organization

ISPEAK THERAPY SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ALFREDA LYNN MCKENZIE CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(470) 210-4301
Entity
Organization

Contact information

Practice address
1388 VILLAGE CREEK CIR SE, ATLANTA, GA 30316-3281
(470) 210-4301
(888) 975-4313
Mailing address
1388 VILLAGE CREEK CIR SE, ATLANTA, GA 30316-3281
(470) 210-4301
(888) 975-4313

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006824
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003157207A
GA
Enumeration date
03/18/2015
Last updated
03/18/2015
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