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1023046133
ALISA DANELLE DEMICO
JACKSONVILLE, FL
NPI
1023046133
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL sa4664)
Enumeration Date
2006-06-29
Last Update Date
2012-12-19
Business Address
-- ALISA DANELLE DEMICO M.S., CCC-SLP
9803 OLD SAINT AUGUSTINE RD SUITE 7
JACKSONVILLE, FL 32257-8854
Phone number: 904-880-9001
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Mailing Address
-- ALISA DANELLE DEMICO M.S., CCC-SLP
6179 ECLIPSE CIR
JACKSONVILLE, FL 32258-8434
Phone number: 904-534-8111
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