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Individual

ANDREA HARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10540 SE 42ND TER, BELLEVIEW, FL 34420-6856
(352) 216-4820
Mailing address
10540 SE 42ND TER, BELLEVIEW, FL 34420-6856

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 7595
FL

Other

Enumeration date
11/21/2012
Last updated
11/21/2012
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