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Individual

DANIELLA TRUJILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
811 E WASHINGTON AVE # WI, MADISON, WI 53703-3688
(844) 536-8266
Mailing address
8326 COMMERCE WAY APT 279, HIALEAH, FL 33016-1628
(813) 527-1111

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA15622
FL
235Z00000X
Speech-Language Pathologist
SZ7742
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
639054
FL
Enumeration date
08/23/2016
Last updated
09/25/2024
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