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Individual

ERICA RAQUEL MEINJUEIRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
32167 WATOGA LOOP, WESLEY CHAPEL, FL 33543-3997
(210) 391-5745
Mailing address
32167 WATOGA LOOP, WESLEY CHAPEL, FL 33543-3997

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
106007
TX
235Z00000X
Speech-Language Pathologist
SA17422
FL
235Z00000X
Speech-Language Pathologist
Primary
SLP009513
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
106007
LICENSE #
TX
01
SA17422
LICENSE #
FL
01
SLP009513
LICENSE #
GA
Enumeration date
06/01/2011
Last updated
06/29/2024
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