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Individual

MS. DIANE MCFANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSCCC/SL

Contact information

Practice address
6721 NW 25TH WAY, FORT LAUDERDALE, FL 33309-1421
(954) 973-3518
(954) 973-3518
Mailing address
6721 NW 25TH WAY, FORT LAUDERDALE, FL 33309-1421
(954) 973-3518
(954) 973-3518

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA4994
FL

Other

Enumeration date
08/22/2006
Last updated
07/08/2007
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