Individual
DESIREE ROSE GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 IRVIN AVE SW, LIVE OAK, FL 32064-2214
(678) 523-4884
Mailing address
100 GARDEN DR APT K252, VALDOSTA, GA 31602-5991
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
FL
Other
Enumeration date
05/13/2018
Last updated
05/13/2018
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