Individual
DARA MICHELLE MAUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1251 BROOKWOOD FOREST BLVD, JACKSONVILLE, FL 32225-9041
(786) 222-2110
Mailing address
1251 BROOKWOOD FOREST BLVD, JACKSONVILLE, FL 32225-9041
(786) 222-2110
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
202435
AR
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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