Individual
MISS JACELYN HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 N. MAITLAND AVENUE, MAITLAND, FL 32751
(407) 539-2488
(407) 539-2408
Mailing address
630 N. MAITLAND AVENUE, MAITLAND, FL 32751
(407) 539-2488
(407) 539-2408
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA11268
FL
Other
Enumeration date
12/14/2009
Last updated
06/04/2014
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