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1306576129
STEFANIE PRUDENTE
BRANDON, FL
NPI
1306576129
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2355S0801X Specialist/Technologist Speech-Language Assistant
(Licence: FL 5484)
Enumeration Date
2022-06-14
Last Update Date
2022-06-14
Business Address
STEFANIE PRUDENTE BS
206 RIDGEWOOD AVE
BRANDON, FL 33510-4617
Phone number: 813-662-1060
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Mailing Address
STEFANIE PRUDENTE BS
2818 MILLBROOK RD
FAYETTEVILLE, NC 28303-5274
Phone number: 570-687-1278
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