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Individual
MISS JACLYN ANN PETRASSI
Active
Individual
MISS JACLYN ANN PETRASSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 10971
FL
Other
Enumeration date
08/12/2011
Last updated
01/14/2021
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