Individual
GRISEL ROXANA VIGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
12030 SW 129TH CT, SUITE 209, MIAMI, FL 33186-4583
(786) 429-3619
(786) 842-3529
Mailing address
3131 SW 120TH RD, MIAMI, FL 33175-2343
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA15653
FL
Other
Enumeration date
08/09/2016
Last updated
08/17/2017
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