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Individual

CONNIE CHRISTENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CCC SLP

Contact information

Practice address
125 ALMA BLVD, MERRITT ISLAND, FL 32953-4345
(321) 454-2442
Mailing address
975 PELICAN LN, ROCKLEDGE, FL 32955-4478
(321) 639-8009

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 6366
FL

Other

Enumeration date
01/19/2012
Last updated
01/19/2012
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