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Individual

ALEXUS MARIE RIVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, CF-SLP

Contact information

Practice address
707 W LAKE DR, WIMAUMA, FL 33598-3507
(813) 296-7122
Mailing address
3513 PAVILION PALMS CIR APT 402, RIVERVIEW, FL 33578-9026

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ12349
FL

Other

Enumeration date
10/08/2024
Last updated
10/08/2024
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