Individual
AUTUMN H O'NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3977 N CANAL RD, MACCLENNY, FL 32063-4864
(904) 239-6613
Mailing address
3977 N CANAL RD, MACCLENNY, FL 32063-4864
(904) 239-6613
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 10382
FL
Other
Enumeration date
10/13/2010
Last updated
10/07/2021
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