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Individual

CHARLENE CLERGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5165 ADANSON ST, ORLANDO, FL 32804-1331
(352) 394-0212
Mailing address
638 WHITE CRANE CT, CHULUOTA, FL 32766-6673

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SI4871
FL
235Z00000X
Speech-Language Pathologist
Primary
FL

Other

Enumeration date
01/22/2022
Last updated
06/21/2024
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