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Individual
MS. SANDRA TIBALDEO
Active
Individual
MS. SANDRA TIBALDEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA6310
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
886458600
—
FL
Enumeration date
05/09/2006
Last updated
09/07/2010
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