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Individual
DAISELY BASULTO
Active
Individual
DAISELY BASULTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C-SLPA
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SI5396
FL
235Z00000X
Speech-Language Pathologist
Primary
SZ10812
FL
Other
Enumeration date
05/27/2022
Last updated
12/05/2022
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