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Individual

COLLEEN G KYLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., SLP

Contact information

Practice address
15915 COUNTRYBROOK ST, TAMPA, FL 33624-1544
(813) 264-2704
Mailing address
15915 COUNTRYBROOK ST, TAMPA, FL 33624-1544
(813) 264-2704

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ 4958
FL

Other

Enumeration date
01/11/2010
Last updated
01/11/2010
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