NPI | 1053844720 |
---|---|
Entity Type | Organization |
Authorized Contact | DORECIE RENEE LENZIE Owner 501-803-6960 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#3495) |
Enumeration Date | 2017-04-09 |
Last Update Date | 2017-04-09 |