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ASHLEIGH KATE BOUDET M.S. CCC/SLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1619109659

Individual Registrant:
 ASHLEIGH KATE BOUDET M.S. CCC/SLP
Gender: F
Sole Proprietor

Location and contact information for practice:
2810 RULEME ST  EUSTIS, FL 32726-6527 US
Tel: 352-357-1990  Fax: --

Contact information for business:
2244 NAPONE LN  MINNEOLA, FL 34715-7808 US
Tel: 407-451-3228  Fax: --

Registration Information:
NPI: 1619109659
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
FLSA9103

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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