Individual
LOREN STOLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 N 3RD ST, LEESVILLE, LA 71446-4014
(561) 322-6398
Mailing address
1132 SW 5TH ST, BOCA RATON, FL 33486-4518
(561) 322-6398
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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