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Individual

DEBORAH JEAN MIZERAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS CCC-SLP MBA

Contact information

Practice address
15101 SHELL POINT BLVD, FORT MYERS, FL 33908-1694
(239) 466-1131
Mailing address
9331 LAKEBEND PRESERVE CT, ESTERO, FL 34135-8148
(508) 789-9619

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18033
FL

Other

Enumeration date
07/13/2020
Last updated
07/13/2020
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