Individual
DEMETRIA JACKSON RAWLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
4761 NW 65TH AVE, LAUDERHILL, FL 33319-7203
(757) 676-5218
Mailing address
4761 NW 65TH AVE, LAUDERHILL, FL 33319-7203
(757) 676-5218
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA6854
FL
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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