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Individual

BAYLEE GRACE HARRISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA. CCC-SLP

Contact information

Practice address
6000 S RIO GRANDE AVE STE 206, ORLANDO, FL 32809-4650
(407) 280-3776
Mailing address
6000 S RIO GRANDE AVE STE 206, ORLANDO, FL 32809-4650
(407) 280-3776
(407) 454-9007

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA18274
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SZ9153
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
08/22/2019
Last updated
08/31/2020
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