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MRS. BRIGETTE GANDARILLAS M.S., C.C.C.-S.L.P

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

Registrant NPI Number: 1073821245

Individual Registrant:
MRS. BRIGETTE  GANDARILLAS M.S., C.C.C.-S.L.P
Gender: F
Sole Proprietor

Location and contact information for practice:
22840 OLD DIXIE HWY  GOULDS, FL 33170-6340 US
Tel: 305-255-9561  Fax: 305-255-2572

Contact information for business:
2120 SW 16TH TER  MIAMI, FL 33145-2112 US
Tel: 305-495-8106  Fax: --

Registration Information:
NPI: 1073821245
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
FLSA8480

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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