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Individual

BIANCA ALEXIS REGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
17901 NW 5TH ST STE 201, PEMBROKE PINES, FL 33029-2810
(954) 606-5439
(954) 606-5430
Mailing address
20030 NW 5TH ST, PEMBROKE PINES, FL 33029-3318
(954) 401-9740

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA17984
FL

Other

Enumeration date
01/04/2021
Last updated
01/04/2021
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