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Organization
MIJARES SPEECH LANGUAGE PATHOLOGY, LLC
Active
Organization
MIJARES SPEECH LANGUAGE PATHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN S MIJARES MS, CCC-SLP (OWNER)
(850) 296-7106
Entity
Organization
Contact information
Practice address
3042 CARLOW CIR, TALLAHASSEE, FL 32309-3303
(850) 296-7106
(850) 807-5114
Mailing address
3042 CARLOW CIR, TALLAHASSEE, FL 32309-3303
(850) 296-7107
(850) 807-5114
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962548487
—
FL
Enumeration date
01/01/2022
Last updated
01/01/2022
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