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Individual

MS. ANITA HELENA FLORES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP, LCPC

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC953
ME
235Z00000X
Speech-Language Pathologist
105367
TX
235Z00000X
Speech-Language Pathologist
SA 10238
FL
235Z00000X
Speech-Language Pathologist
SP277
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
131370100
ME
05
131380099
ME
Enumeration date
05/24/2010
Last updated
05/24/2010
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