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Individual

MRS. ALICE EUGENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
13470 BOYETTE RD, RIVERVIEW, FL 33569-5706
(813) 336-2128
Mailing address
1151 SERENITY WAY, IMMOKALEE, FL 34142-2192
(786) 416-4943

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14305051
FL
235Z00000X
Speech-Language Pathologist
SZ9418
FL

Other

Enumeration date
09/08/2020
Last updated
09/08/2020
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