Individual
DENISE FOLLENIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC SLP
Contact information
Practice address
4125 NW 19TH PL, GAINESVILLE, FL 32605-3527
(352) 371-3680
(352) 372-5317
Mailing address
4125 NW 19TH PL, GAINESVILLE, FL 32605-3527
(352) 371-3680
(352) 372-5317
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 4427
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891497400
—
FL
Enumeration date
01/30/2007
Last updated
07/09/2007
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