Individual
AUDREY SMITH BALLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
730 COURTLAND ST, ORLANDO, FL 32804-1316
(407) 975-3800
Mailing address
1102 PINE OAKS CT, APOPKA, FL 32712-3720
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA1979
FL
Other
Enumeration date
09/16/2017
Last updated
09/16/2017
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