Individual
MRS. DOMINIQUE S. NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
3117 LITHIA PINECREST RD, VALRICO, FL 33596-5632
(813) 662-1106
(813) 661-7661
Mailing address
8520 WHITE POPLAR DR, RIVERVIEW, FL 33578-8636
(813) 658-8106
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA12741
FL
Other
Enumeration date
08/21/2015
Last updated
08/25/2015
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