Individual
MRS. AUDRA LEIGH MARTIN BURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1915 WELBY WAY STE 5, TALLAHASSEE, FL 32308-4595
(850) 325-6301
(850) 325-6302
Mailing address
1915 WELBY WAY STE 5, TALLAHASSEE, FL 32308-4595
(850) 325-6301
(850) 325-6302
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA8482
FL
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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