Individual
CASEY LEE JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1809 E BROADWAY ST STE 122, OVIEDO, FL 32765-8597
(407) 359-5693
Mailing address
1809 E BROADWAY ST STE 122, OVIEDO, FL 32765-8597
(407) 359-5693
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA13137
FL
Other
Enumeration date
09/14/2012
Last updated
05/02/2017
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