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Individual

MRS. ANNA JONES ELLIOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
119437
TX
235Z00000X
Speech-Language Pathologist
Primary
SA-9345
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
119437
TEXAS DEPARTMENT OF LICENSING AND REGULATION - SPEECH-LANGUAGE PATHOLOGISTS
TX
05
892685900
FL
01
SA9345
FLORIDA SPEECH LANGUAGE LICENSE
FL
Enumeration date
01/18/2008
Last updated
09/07/2022
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