Individual
BETTINA GARCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4715 KIRBY LOOP RD, FORT PIERCE, FL 34981-5345
(772) 224-6749
Mailing address
3039 SE WAKE RD, PORT ST LUCIE, FL 34984-6350
(772) 224-6749
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI2176
FL
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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