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Individual

MRS. CHRISTINE MARIE SHENOI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S. CCC-SLP

Contact information

Practice address
17279 OLD TOBACCO RD, LUTZ, FL 33558-4947
(727) 422-2438
Mailing address
17279 OLD TOBACCO RD, LUTZ, FL 33558-4947
(117) 274-2224

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
12104763
FL
235Z00000X
Speech-Language Pathologist
146008913
IL
235Z00000X
Speech-Language Pathologist
SA 8031
FL
235Z00000X
Speech-Language Pathologist
Primary
SA15082
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
889419100
FL
Enumeration date
01/10/2007
Last updated
06/28/2021
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