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Individual

DERLY MARIAN SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
6 N EUSTIS ST, EUSTIS, FL 32726-3408
(321) 276-5054
Mailing address
6 N EUSTIS ST, EUSTIS, FL 32726-3408

Taxonomy

Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
SZ9862
FL
235Z00000X
Speech-Language Pathologist
Primary
SZ9862
FL

Other

Enumeration date
09/28/2020
Last updated
09/18/2023
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