Individual
DENAE DIAMOND RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
12448 SW 127TH AVE FL 2, MIAMI, FL 33186-6596
(305) 225-5980
Mailing address
10900 SW 161ST PL, MIAMI, FL 33196-4256
(305) 878-6256
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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