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Individual
MRS. ANGELA ROCHELLE GUSTAFSON
Active
Individual
MRS. ANGELA ROCHELLE GUSTAFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ6179
FL
Other
Enumeration date
04/01/2013
Last updated
02/11/2022
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