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1366164410
LISA VANDEREE
PORT SAINT LUCIE, FL
NPI
1366164410
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA2598)
Enumeration Date
2022-09-15
Last Update Date
2022-09-15
Business Address
Mrs. LISA VANDEREE MS., CCC-SLP
12818 SW SEA GODDESS LN
PORT SAINT LUCIE, FL 34987-7772
Phone number: 561-371-8112
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Mailing Address
Mrs. LISA VANDEREE MS., CCC-SLP
12818 SW SEA GODDESS LN
PORT SAINT LUCIE, FL 34987-7772
Phone number: 561-371-8112
Copy
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