Individual
CHANELLE GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
437 W ARDICE AVE, SUITE 481, EUSTIS, FL 32726
(352) 505-1354
Mailing address
702 MORIN ST, EUSTIS, FL 32726-4770
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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