HOLISTIC SPEECH THERAPY SERVICES
Speech Language Pathology at Enon Ct, Saint Augustine, FL

License number
Florida SA9049
Category
Speech Language Pathology
Type
Speech-Language Pathologist
Owner
Name: ALICIA MCKENZIE
Title: OWNER
Phone: (904) 463-2510
Address
Address
1013 Enon Ct, Saint Augustine, FL 32092
National Provider ID: 1043547284
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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HOLISTIC SPEECH THERAPY SERVICES, P.L

1013 Enon Ct, Saint Augustine, FL 32092

Doing business as:
Holistic Speech Therapy Services
Registration:
Sep 9, 2011
State ID:
L11000103868
Business type:
Florida Limited Liability Company
Owner, Speech Therapist, Managing Member:
Alicia L Mckenzie (Owner, Speech Therapist, Managing Member), 1013 Enon Ct, Saint Augustine, FL 32092 (Physical)
Agent:
Brian Rowland,1010 E Adams St SUITE 233, Jacksonville, FL 32202 (Physical)
EIN:
800755024

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