Organization
SPEAK, MOVE, GROW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORELLE B. VASCOS-PAGES M.S., CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(305) 323-2364
Entity
Organization
Contact information
Practice address
7765 SW 142ND ST, PALMETTO BAY, FL 33158-1514
(305) 323-2364
Mailing address
7765 SW 142ND ST, PALMETTO BAY, FL 33158-1514
(305) 323-2364
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
SA 9572
FL
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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