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Individual

ERIE JACQUELINE LOUISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA CCC-SLP

Contact information

Practice address
30330 OLD DIXIE HWY, HOMESTEAD, FL 33033-3215
(305) 242-9424
Mailing address
30330 OLD DIXIE HWY, HOMESTEAD, FL 33033-3215
(305) 242-9424

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
106385
TX
235Z00000X
Speech-Language Pathologist
41YS00392600
NJ
235Z00000X
Speech-Language Pathologist
Primary
SA12841
FL
235Z00000X
Speech-Language Pathologist
SLP8295
AZ

Other

Enumeration date
05/11/2011
Last updated
08/17/2015
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