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Individual

MISS AIMEE NOELLE DANIEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED. CCC-SLP

Contact information

Practice address
405 11TH ST SW, SUITE 205, LIVE OAK, FL 32064-3161
(386) 397-9416
Mailing address
108 5TH ST SW, JASPER, FL 32052-6068
(386) 397-9416

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 12276
FL

Other

Enumeration date
07/08/2013
Last updated
07/08/2013
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