Individual
HANNAH RACINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
7243 US 301 S, RIVERVIEW, FL 33578-8399
(813) 663-9828
Mailing address
804 LAKE HAVEN SQ UNIT 201, BRANDON, FL 33511-6095
(813) 597-7930
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ8786
FL
Other
Enumeration date
08/01/2016
Last updated
09/10/2018
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