Individual
EMILY LEAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5510 RAINBOW DRIVE, BOKEELIA, FL 33922
(347) 256-4085
Mailing address
5510 RAINBOW DRIVE, BOKEELIA, FL 33922
(347) 256-4085
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ12324
FL
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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