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1275553000
TERESA ROUTH
LAKELAND, FL
NPI
1275553000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA 968)
Enumeration Date
2006-07-21
Last Update Date
2007-07-09
Business Address
-- TERESA ROUTH MA-CCC/SLP
1335 ARIANA ST
LAKELAND, FL 33803-1879
Phone number: 863-413-0802
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Mailing Address
-- TERESA ROUTH MA-CCC/SLP
1335 ARIANA ST
LAKELAND, FL 33803-1879
Phone number: 863-413-0802
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