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Individual

MRS. ANGELA LORRAINE MAHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA-CCC-SLP

Contact information

Practice address
623 DOGWOOD RUN, BRADENTON, FL 34212-5025
(386) 341-0679
Mailing address
623 DOGWOOD RUN, BRADENTON, FL 34212-5025

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10392
FL

Other

Enumeration date
12/06/2021
Last updated
12/06/2021
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