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DENISE SPROUSE HARRISON M.ED.,CCC/SLP

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

Registrant NPI Number: 1518013713

Individual Registrant:
 DENISE SPROUSE HARRISON M.ED.,CCC/SLP
Gender: F
Sole Proprietor

Location and contact information for practice:
36006 VIA GRAN  GRAND ISLAND, FL 32735-9625 US
Tel: 352-483-1181  Fax: 352-483-1181

Contact information for business:
36006 VIA GRAN  GRAND ISLAND, FL 32735-9625 US
Tel: 352-483-1181  Fax: 352-483-1181

Registration Information:
NPI: 1518013713
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
FLSA1994

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
880181900FL05




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