Individual
HALIE MCMINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9738 OTTAWA DR # DE, DAPHNE, AL 36526-6497
(251) 802-1914
Mailing address
9738 OTTAWA DR, DAPHNE, AL 36526-6497
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S4306
MS
235Z00000X
Speech-Language Pathologist
SA16215
FL
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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