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1245418623
JESSICA LEE WATERMAN
FORT MYERS, FL
NPI
1245418623
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA6644)
Enumeration Date
2008-02-07
Last Update Date
2011-02-16
Business Address
-- JESSICA LEE WATERMAN CCC-SLP
9350 CAMELOT DR
FORT MYERS, FL 33919-7980
Phone number: 239-337-5437
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Mailing Address
-- JESSICA LEE WATERMAN CCC-SLP
14018 IMAGE LAKE CT
FORT MYERS, FL 33907-1823
Phone number: 239-823-2252
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