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Individual

ESTHER G LYTZYNCO PALACIYO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
2001 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-3429
(786) 394-0191
Mailing address
2001 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-3429
(786) 494-0191

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9163
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
812312800
FL
05
892120200
FL
Enumeration date
04/18/2007
Last updated
02/06/2023
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