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Individual

ANGELA CAROLE MUSGRAVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSC, CCC-SLP

Contact information

Practice address
10382 TRAILWOOD CIR, JUPITER, FL 33478-4765
(561) 523-5377
Mailing address
10382 TRAILWOOD CIR, JUPITER, FL 33478-4765
(561) 523-5377

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 6978
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002272700
FL
05
020997900
FL
05
887613400
FL
Enumeration date
12/20/2008
Last updated
05/10/2019
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