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Individual
TAKIYAH WALLER DENNIES
Active
Individual
TAKIYAH WALLER DENNIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
SA7944
FL
235Z00000X
Speech-Language Pathologist
Primary
SA7944
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001288300
—
FL
05
—
889137100
—
FL
Enumeration date
07/08/2009
Last updated
09/21/2011
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