Individual
MISS ANTONETTE MARIE STAHURA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
4712 GRAPVINE WAY, DAVIE, FL 33331
(954) 483-8456
Mailing address
8148 NW 15 MANOR, PLANTATION, FL 33322
(954) 236-3932
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA5716
FL
Other
Enumeration date
04/11/2006
Last updated
07/08/2007
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