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Individual

CARMEN CASANOVA - GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1000 EMMETT ST STE 102, KISSIMMEE, FL 34741-3605
(787) 627-7856
(497) 913-1010
Mailing address
1000 EMMETT ST STE 102, KISSIMMEE, FL 34741-3605
(787) 628-7856

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
FL
2355S0801X
Speech-Language Assistant
Primary
3304
FL

Other

Enumeration date
06/09/2015
Last updated
05/17/2024
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