Individual
CASSIDY KUDJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4606 DEVON AVE, LAKELAND, FL 33813-2008
(954) 654-0867
Mailing address
4606 DEVON AVE, LAKELAND, FL 33813-2008
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI6835
FL
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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