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Individual

KAITLYN BUDDEMEYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
861 W MORSE BLVD STE 1, WINTER PARK, FL 32789-3746
(407) 637-2277
Mailing address
3172 WINESAP WAY, WINTER GARDEN, FL 34787-5614

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
FL
2355S0801X
Speech-Language Assistant
SI4351
FL

Other

Enumeration date
05/11/2020
Last updated
10/26/2021
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