Individual
STEFANIE PRUDENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
206 RIDGEWOOD AVE, BRANDON, FL 33510-4617
(813) 662-1060
Mailing address
2818 MILLBROOK RD, FAYETTEVILLE, NC 28303-5274
(570) 687-1278
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
5484
FL
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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