Individual
JESSICA FADEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2736 HOLLYWOOD BLVD, HOLLYWOOD, FL 33020-4808
(954) 603-1881
(954) 603-5341
Mailing address
2736 HOLLYWOOD BLVD, HOLLYWOOD, FL 33020-4808
(954) 603-1881
(954) 603-5341
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI3610
FL
Other
Enumeration date
07/31/2020
Last updated
07/31/2020
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