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Organization
WYANETHA RENNER, MA,CCC/SLP, PA
Active
Organization
WYANETHA RENNER, MA,CCC/SLP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WYANETHA RENNNER MA,CCC/SLP (PRESIDENT)
(321) 303-4320
Entity
Organization
Contact information
Practice address
22 LAKE BEAUTY DR, STE 304, ORLANDO, FL 32806-2037
(321) 303-4320
Mailing address
2182 CRANDON AVE, WINTER PARK, FL 32789-3382
(321) 303-4320
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA6648
FL
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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