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Individual
JOAN I LEVY
Active
Individual
JOAN I LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA5588
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
889195800
—
FL
01
—
SA5588
STATE OF FLORIDA LICENSE
FL
Enumeration date
07/05/2005
Last updated
04/06/2017
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