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Individual

KATIRIA MARY SANTANA SUAREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6 N EUSTIS ST, EUSTIS, FL 32726-3408
(321) 276-5054
Mailing address
16851 SARAHS PL APT 105, CLERMONT, FL 34714-7043
(787) 424-5450

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
2860
FL
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
09/05/2020
Last updated
03/08/2021
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