Individual
MRS. GINAE MCKINON FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
481 W 30TH ST, RIVIERA BEACH, FL 33404-3711
(817) 528-1597
Mailing address
481 W 30TH ST, RIVIERA BEACH, FL 33404-3711
(817) 528-1597
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 7696
FL
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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