Individual
MRS. CAROLYN HAMMACK FIERRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. S. CCC
Contact information
Practice address
6087 JAMESON CIR, PACE, FL 32571-6305
(850) 995-9092
Mailing address
6087 JAMESON CIR, PACE, FL 32571-6305
(850) 995-9092
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA9622
FL
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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