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MISS AIMEE NOELLE DANIEL M.ED. CCC-SLP

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

Registrant NPI Number: 1750722633

Individual Registrant:
MISS AIMEE NOELLE DANIEL M.ED. CCC-SLP
Gender: F
Sole Proprietor

Location and contact information for practice:
405 11TH ST SW SUITE 205 LIVE OAK, FL 32064-3161 US
Tel: 386-397-9416  Fax: --

Contact information for business:
108 5TH ST SW  JASPER, FL 32052-6068 US
Tel: 386-397-9416  Fax: --

Registration Information:
NPI: 1750722633
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
FLSA 12276

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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