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Individual

MRS. ANDREA MICHELLE JASPER

Active
Sole proprietor
No

Provider details

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

Contact information

Practice address
230 NW 76TH DR, GAINESVILLE, FL 32607-6672
(352) 642-6182
Mailing address
2659 SW 118TH TER, GAINESVILLE, FL 32608-0010
(352) 642-6182

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 9159
FL
235Z00000X
Speech-Language Pathologist
SA9159
FL

Other

Enumeration date
03/25/2008
Last updated
10/19/2022
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