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Individual

MRS. BETH ELLEN GOERLITZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC., SLP

Contact information

Practice address
305 CLYDE MORRIS BLVD STE 220, ORMOND BEACH, FL 32174-8187
(386) 676-3130
Mailing address
5946 PARK RIDGE DR, PORT ORANGE, FL 32127-7547
(386) 846-2161

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA8700
FL

Other

Enumeration date
07/30/2007
Last updated
07/30/2007
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