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Individual
MS. MILDRED ZUSSELLY MCILWAIN
Active
Individual
MS. MILDRED ZUSSELLY MCILWAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
SA11004
FL
235Z00000X
Speech-Language Pathologist
Primary
SA11004
FL
235Z00000X
Speech-Language Pathologist
SLP7100
NM
Other
Enumeration date
01/18/2010
Last updated
11/30/2020
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