Individual
CRYSTAL STONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2667 ENTERPRISE RD, ORANGE CITY, FL 32763
(863) 268-2608
Mailing address
5392 HORNBUCKLE BLVD, NORTH PORT, FL 34291-4677
(863) 440-3659
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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