Individual
MRS. CAROLYN F BEAUBRUN- DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
10821 BOYETTE ROAD, RIVERVIEW, FL 33569
(305) 343-9490
Mailing address
9648 US 301 S # 224, RIVERVIEW, FL 33578-5442
(305) 343-9490
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA-8098
FL
Other
Enumeration date
06/01/2010
Last updated
04/14/2022
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