Individual
DIANE LINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 KINGSLEY AVE, ORANGE PARK, FL 32073-4631
(904) 269-8922
Mailing address
9280 REDTAIL DR, JACKSONVILLE, FL 32222-2810
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA7367
FL
Other
Enumeration date
08/08/2008
Last updated
02/04/2013
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