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Canebrake Speech Therapy, LLC

Details

Name: Canebrake Speech Therapy, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 07 Jun 2018 (6 years ago) (Companies founded in June 2018)
Entity Number: 000-520-986
Register Number: 000520986
ZIP code: 36732 (Companies in Marengo, 36732)
County: Marengo
Place of Formation: Marengo County
Registered Office Street Address: 213 SOUTH CEDAR AVENUEDEMOPOLIS, AL 36732

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1518450949 2018-06-11 2018-06-11 1400 HERBERT ST, DEMOPOLIS, AL, 367321614, US 213 S CEDAR AVE, DEMOPOLIS, AL, 367322229, US

Contacts

Phone +1 334-327-2896

Authorized person

Name DANA EDDINS
Role SPEECH PATHOLOGIST
Phone 3343272896

Taxonomy

Taxonomy Code 235Z00000X - Speech-Language Pathologist
License Number 3167
State AL
Is Primary Yes

Agent

Name Role
EDDINS, DANA B Agent

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State