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Individual
JAIME L MIALE
Active
Individual
JAIME L MIALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
12152884
—
235Z00000X
Speech-Language Pathologist
Primary
PCET001620
GA
235Z00000X
Speech-Language Pathologist
SA16397
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12152884
ASHA
GA
01
—
PCET001620
PCE TEMPORARY LICENSE
GA
01
—
SA16397
FLORIDA LICENSURE
FL
Enumeration date
05/09/2012
Last updated
08/12/2020
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