Individual
CAROLINA BOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1781 NW 123RD AVE, PEMBROKE PINES, FL 33026-4383
(754) 423-3111
Mailing address
3952 W GARDENIA AVE, WESTON, FL 33332-2473
(954) 242-5397
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA21702
FL
235Z00000X
Speech-Language Pathologist
SZ10853
FL
Other
Enumeration date
09/09/2022
Last updated
07/24/2023
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