Individual
CAROL DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11565 HARTS RD, JACKSONVILLE, FL 32218-3777
(912) 223-2882
Mailing address
11565 HARTS RD, JACKSONVILLE, FL 32218-3777
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 3355
FL
235Z00000X
Speech-Language Pathologist
SLP004733
GA
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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