Individual
DEBORAH KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2565 JUDGE FRAN JAMIESON WAY, VIERA, FL 32940-5998
(321) 634-3688
(321) 504-0955
Mailing address
580 ORA DELL AVE, TITUSVILLE, FL 32796-2230
(321) 212-7977
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA4000
FL
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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