Individual
STEPHANIE NICHOLLE CEVALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3898 VIA POINCIANA STE 17, LAKE WORTH, FL 33467-2951
(561) 376-2573
Mailing address
3898 POINCIANA DR STE 17, LAKE WORTH, FL 33467-2951
(561) 666-0649
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
10933876
FL
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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