Individual
MRS. TANESHIA FAYE MCMILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLA
Contact information
Practice address
5576 W SAMPLE RD, MARGATE, FL 33073-3423
(954) 974-2977
Mailing address
7595 HAMPTON BLVD, N LAUDERDALE, FL 33068-5586
(954) 234-2350
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI 1394
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SI 1394
SPEECH THERAPY ASSISTANT
FL
Enumeration date
03/04/2008
Last updated
03/04/2008
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