Individual
KETIA MAGENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 OAKWOOD BLVD STE 130, HOLLYWOOD, FL 33020-1937
(954) 925-3844
Mailing address
1 OAKWOOD BLVD, HOLLYWOOD, FL 33020-1956
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI5524
FL
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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