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Individual

ANTONICE LEA MORIN

Active
Sole proprietor
Yes

Provider details

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

Contact information

Practice address
4 OFFICE PARK DR STE 4, PALM COAST, FL 32137-3831
(386) 446-9935
Mailing address
34 RUSSELL DR, PALM COAST, FL 32164-6909
(732) 616-6038

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
235Z00000X
Speech-Language Pathologist
Primary
SA24808
FL
235Z00000X
Speech-Language Pathologist
Primary
SZ12793
FL

Other

Enumeration date
09/06/2023
Last updated
07/20/2026
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