Individual
DONNA M. LAURICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-SLP
Contact information
Practice address
6081 BAHIA DEL MAR CIR, ST PETERSBURG, FL 33715-3307
(727) 867-3498
Mailing address
138 PINEVIEW DR, MARQUETTE, MI 49855-8610
(906) 360-1952
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA7393
FL
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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