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DESIREE ROSE GOLDSTEIN

Speech-Language Assistant >> Specialist/Technologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1447740725

Individual Registrant:
 DESIREE ROSE GOLDSTEIN 
Gender: F
Sole Proprietor

Location and contact information for practice:
112 IRVIN AVE SW  LIVE OAK, FL 32064-2214 US
Tel: 678-523-4884  Fax: --

Contact information for business:
100 GARDEN DR APT K252  VALDOSTA, GA 31602-5991 US
Tel: --  Fax: --

Registration Information:
NPI: 1447740725
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2355S0801XSpeech, Language and Hearing Service Providers
Specialist/Technologist
Speech-Language Assistant
FL

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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