Individual
MRS. ANDREA C KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-CF
Contact information
Practice address
1483 SW BOUGAINVILLEA AVE, PORT ST LUCIE, FL 34953-7302
(772) 336-6928
(772) 336-6929
Mailing address
2050 OLEANDER BLVD APT 5-106, FORT PIERCE, FL 34950-5307
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ10672
FL
Other
Enumeration date
07/30/2018
Last updated
06/21/2022
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