Individual
MIA RAE ALISON STAUDTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1107 MABBETTE ST, KISSIMMEE, FL 34741-5161
(407) 201-8079
(407) 343-9180
Mailing address
6650 LAKE PEMBROKE PL, ORLANDO, FL 32829-7619
(407) 617-2919
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
6905
FL
Other
Enumeration date
02/21/2024
Last updated
02/23/2024
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