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Individual

IVETTE GARCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
7414 61ST ST E, PALMETTO, FL 34221-8226
(786) 366-6317
Mailing address
907 133RD ST E, BRADENTON, FL 34212-9218
(786) 366-6317

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
2355S0801X
Speech-Language Assistant
SI1617
FL
235Z00000X
Speech-Language Pathologist
Primary
FL

Other

Enumeration date
05/11/2009
Last updated
04/09/2020
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