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Individual

MRS. TATIANA M SANCHEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLPA

Contact information

Practice address
330 AVENUE C SE, WINTER HAVEN, FL 33880-3243
(863) 268-2903
Mailing address
8708 MICMAC CT, POLK CITY, FL 33868-6025
(813) 454-8704

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI3465
FL
2355S0801X
Speech-Language Assistant
SL3465
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SI3465
DEPARTMENT OF HEALTH
FL
Enumeration date
05/09/2012
Last updated
07/12/2021
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