Individual
KEANAH FOREMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10520 SUMMER AZURE DR, RIVERVIEW, FL 33578-5828
(813) 334-4718
Mailing address
10520 SUMMER AZURE DR, RIVERVIEW, FL 33578-5828
(813) 334-4718
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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