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1386894574
ELLEN-BETH FULLWOOD
FORT MYERS, FL
NPI
1386894574
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL sa9064)
Enumeration Date
2008-09-24
Last Update Date
2008-09-24
Business Address
Ms. ELLEN-BETH FULLWOOD MS CCC-SLP
15114 CLOVERDALE DR
FORT MYERS, FL 33919-8308
Phone number: 239-410-2629
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Mailing Address
Ms. ELLEN-BETH FULLWOOD MS CCC-SLP
15114 CLOVERDALE DR
FORT MYERS, FL 33919-8308
Phone number: 239-410-2629
Copy
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