Individual
MRS. DENISE WOFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
987 SUGAR MILL DR, NEW SMYRNA BEACH, FL 32168-2036
(386) 427-2703
Mailing address
987 SUGAR MILL DR, NEW SMYRNA BEACH, FL 32168-2036
(386) 427-2703
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA4284
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA4284
STATE LICENSE
FL
Enumeration date
03/19/2011
Last updated
03/19/2011
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