Individual
ENNA KADOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1897 NE 146TH ST, NORTH MIAMI, FL 33181-1423
(305) 949-4191
Mailing address
9289 EMERSON AVE, SURFSIDE, FL 33154-3033
(305) 343-7331
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ 6084
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SZ 6084
PROVISIONAL SPEECH LANGUAGE PATHOLOGY
FL
Enumeration date
09/10/2013
Last updated
09/10/2013
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