Individual
DESTINY JUSTINE LILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1725 HERMITAGE BLVD, TALLAHASSEE, FL 32308-7709
(850) 325-6301
Mailing address
8808 N PEMBROKE CT, TALLAHASSEE, FL 32311-9419
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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