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Individual
MRS. JANIS IRENE MCDONALD
Active
Individual
MRS. JANIS IRENE MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
SA5945
FL
235Z00000X
Speech-Language Pathologist
Primary
0254321
NY
235Z00000X
Speech-Language Pathologist
SA5945
FL
Other
Enumeration date
08/16/2011
Last updated
11/29/2016
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