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Individual

MRS. DOROTHY CAROL ROSE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6200 GRAND CYPRESS CIRCLE, LAKE WORTH, FL 33463
(334) 717-1292
Mailing address
6200 GRAND CYPRESS CIR, LAKE WORTH, FL 33463-7357
(334) 717-1292

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA11724
FL

Other

Enumeration date
08/11/2018
Last updated
08/11/2018
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