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Organization
NICOLE LILIENTHAL, MS, CCC-SLP, PA
Active
Organization
NICOLE LILIENTHAL, MS, CCC-SLP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE MIEZEJESKI LILIENTHAL MS, CCC-SLP (PRESIDENT)
(954) 478-4192
Entity
Organization
Contact information
Practice address
340 SUNSET DR APT 410, FT LAUDERDALE, FL 33301-2640
(954) 478-4192
Mailing address
340 SUNSET DR APT 410, FT LAUDERDALE, FL 33301-2640
(954) 478-4192
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA5711
FL
Other
Enumeration date
03/27/2007
Last updated
08/22/2020
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