Individual
KHEMWATIE SAYWACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
820 SPRING LAKE SQ, WINTER HAVEN, FL 33881-1338
(516) 343-8614
Mailing address
820 SPRING LAKE SQ, WINTER HAVEN, FL 33881-1338
(516) 343-8614
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
106S00000X
Behavior Technician
—
—
2355S0801X
Speech-Language Assistant
Primary
SI7225
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111705800
—
FL
Enumeration date
11/04/2015
Last updated
09/25/2024
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