Individual
ASHLEY MICHELLE RETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
389 PALM COAST PKWY SW, SUITE 1, PALM COAST, FL 32137-4771
(386) 597-2820
(386) 597-2820
Mailing address
389 PALM COAST PARKWAY, SUITE 1, PALM COAST, FL 32137
(386) 597-2820
(386) 597-2820
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 1120
FL
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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