Individual
MISS ALEKSASHA WANNEMACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1452 BLOOMINGDALE AVE, VALRICO, FL 33596-6110
(813) 616-4004
Mailing address
1212 LAKE BREEZE PL, VALRICO, FL 33596-6164
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA17839
FL
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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