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Individual

ANGELA SUSAN TREWARTHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS.CCC.SLP

Contact information

Practice address
4550 COLONIAL BLVD, FORT MYERS, FL 33912-1017
(239) 931-5710
Mailing address
16114 FLAGG POND LN, NORTH FORT MYERS, FL 33917-3338
(239) 410-7518

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 5364
FL

Other

Enumeration date
04/12/2007
Last updated
07/08/2007
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