Individual
MS. JACLYN ANGULO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
10743 SW 104 STREET, MIAMI, FL 33176
(305) 274-7883
(305) 274-4271
Mailing address
10743 SW 104 STREET, MIAMI, FL 33176
(305) 274-7883
(305) 274-4271
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SI1907
FL
235Z00000X
Speech-Language Pathologist
Primary
SA14291
FL
Other
Enumeration date
05/11/2011
Last updated
09/20/2018
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