Individual
VICTORIA DIANE SEVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3305 S ORANGE AVE, ORLANDO, FL 32806-6125
(407) 904-0138
Mailing address
508 HIBISCUS COVE DR, ORLANDO, FL 32807-3309
(561) 389-5474
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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