Individual
MISS KARON ELAINE STAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-A
Contact information
Practice address
20158 CORTEZ BLVB, BROOKESVILLE, FL 34601
(352) 796-0069
Mailing address
12838 COVERDALE DR, TAMPA, FL 33624-4001
(941) 264-8794
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI3790
FL
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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