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Individual

BRITTANY WINGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CCC SLP

Contact information

Practice address
602 VONDERBURG DR, SUITE 201, BRANDON, FL 33511-5900
(813) 653-1149
(813) 654-6644
Mailing address
1115 E TWIGGS ST UNIT 2105, TAMPA, FL 33602-3190
(813) 786-7470

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ5888
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006603600
FL
Enumeration date
08/17/2012
Last updated
11/13/2020
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