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Individual

GLADYS MC BRIDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8841 SW 6TH ST, MIAMI, FL 33174-2461
(786) 423-0440
Mailing address
8841 SW 6TH ST, MIAMI, FL 33174-2461
(786) 423-0440

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA10139
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000292800
FL
Enumeration date
07/21/2007
Last updated
02/15/2022
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