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Individual
MRS. STACIE ORT
Active
Individual
MRS. STACIE ORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
SA 5710
FL
235Z00000X
Speech-Language Pathologist
Primary
SA5710
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8909148 00
—
FL
Enumeration date
09/26/2006
Last updated
04/30/2012
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