Individual
CHRISTINA GWYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
490 S OLD WIRE RD, WILDWOOD, FL 34785-5001
(352) 748-3683
Mailing address
954 NATHAN RIDGE RD, CLERMONT, FL 34715-0022
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA13576
FL
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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