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SPARK SPEECH THERAPY COLLECTIVE PC

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Company Details

Legal Name: SPARK SPEECH THERAPY COLLECTIVE PC
Jurisdiction: WASHINGTON
Entity Type: FOREIGN PROFESSIONAL SERVICE CORPORATION
Category: FOREIGN ENTITY
Status: Active
Formation/ Registration Date: October 13th 2021
Expiration date: 31 Oct 2025
UBI Number: 604 825 900
ZIP code: 98107
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1455 NW LEARY WAY, STE 400, SEATTLE, WA, 98107-5138, UNITED STATES

Contact Details

E-Mail: LESLIE@SPARKTHERAPYCOLLECTIVE.COM
Phone Number: +1 206-429-5023

Nature of Business

Health Care, Social Assistance & Service Organization, HEALTH CARE, SOCIAL ASSISTANCE & SERVICE ORGANIZATION SPEECH-LANGUAGE PATHOLOGY

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Registered Agent Information

Name Role Address
SPARK SPEECH THERAPY COLLECTIVE DBA SPARK THERAPY COLLECTIVE Registered Agent 1455 NW LEARY WAY, SUITE 400, SEATTLE, WA, 98107-5138, UNITED STATES

Key Officers & Management

Name Role
LESLIE BENNETT Governing Person

National Provider Identifier

NPI Number:
1457992893
Certification Date:
2022-10-13

Authorized Person:

Name:
LESLIE BENNETT
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
235Z00000X - Speech-Language Pathologist
Is Primary:
Yes

Contacts:

Fax:
8184783327
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