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Organization

GOSNIK SPEECH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TARA NICOLE GOSNIK CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(330) 603-4714
Entity
Organization

Contact information

Practice address
11863 CRESTRIDGE LOOP, TRINITY, FL 34655-0019
(330) 603-4714
Mailing address
11863 CRESTRIDGE LOOP, TRINITY, FL 34655-0019

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA135633
FL

Other

Enumeration date
02/08/2017
Last updated
02/08/2017
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