Individual
DANIELLE RAYNA KOONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8700 A C SKINNER PKWY, JACKSONVILLE, FL 32256-0836
(904) 641-7300
Mailing address
455 MIMOSA DR, ST SIMONS IS, GA 31522-9735
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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