Individual
CHELSEA TEARA OUTLAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5598 8TH ST W UNIT 3, LEHIGH ACRES, FL 33971-6341
(239) 674-9374
(239) 491-3057
Mailing address
221 S SPENCE AVE, GOLDSBORO, NC 27534-4553
(919) 440-3076
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI2830
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006236000
—
FL
Enumeration date
06/30/2017
Last updated
07/21/2022
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