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Individual
WESLEY BALTIMORE
Active
Individual
WESLEY BALTIMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA15453
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/06/2016
Last updated
08/18/2021
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