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Individual
NICOLETTE ANGELINA BORN
Active
Individual
NICOLETTE ANGELINA BORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S-CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SA19218
FL
235Z00000X
Speech-Language Pathologist
Primary
SL015209
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14334997
AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION
—
01
—
SA19218
STATE OF FLORIDA DEPARTMENT OF HEALTH
FL
01
—
SL015209
COMMONWEALTH OF PA DEPARTMENT OF STATE BUREAU OF PROFESSIONAL AND OCCUPATIONAL
PA
Enumeration date
06/29/2020
Last updated
10/16/2021
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