Individual
MICHELLE MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3839 ROBENA RD, JACKSONVILLE, FL 32218-7582
(336) 601-3905
Mailing address
3839 ROBENA RD, JACKSONVILLE, FL 32218-7582
(336) 601-3905
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
2355S0801X
Speech-Language Assistant
—
—
Other
Enumeration date
11/05/2007
Last updated
07/26/2013
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