Individual
ANISSA GASKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 S 23RD ST STE 2, FORT PIERCE, FL 34950-4830
(772) 464-3303
Mailing address
1860 SW ALEDO LN APT 209, PORT SAINT LUCIE, FL 34953-4178
(954) 756-1144
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ10820
FL
Other
Enumeration date
05/13/2019
Last updated
05/25/2023
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