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Individual

GINA MICHELE GLASSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CCC-SLP

Contact information

Practice address
4411 N HABANA AVE, TAMPA, FL 33614-7211
(813) 872-2771
Mailing address
7015 DRURY ST, TAMPA, FL 33635-9617
(845) 519-0953

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15382
FL

Other

Enumeration date
06/09/2019
Last updated
09/15/2021
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