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Individual

ILIANA CONCEPCION

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8491 NW 17TH ST STE 110, DORAL, FL 33126-1025
(305) 456-5542
(786) 598-7590
Mailing address
8491 NW 17TH ST STE 110, DORAL, FL 33126-1025
(305) 456-5542
(786) 598-7590

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI4003
FL

Other

Enumeration date
07/26/2021
Last updated
07/26/2021
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