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Individual

TIA MORGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
297 N BROAD ST, BROOKSVILLE, FL 34601
(352) 796-0069
(352) 796-0069
Mailing address
297 N BROAD ST, BROOKSVILLE, FL 34601-2925
(352) 796-0069
(352) 796-0069

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI1393
FL
235Z00000X
Speech-Language Pathologist
SI1393
FL

Other

Enumeration date
07/22/2008
Last updated
06/12/2018
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