KRISTINE LEIGH TAVRISOV

JACKSONVILLE, FL
NPI1467029009
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: FL  SA20512)
Enumeration Date2021-06-10
Last Update Date2023-10-18
Business Address
KRISTINE LEIGH TAVRISOV M.S. CCC-SLP
11420 CAMPFIELD CIR
JACKSONVILLE, FL 32256-3907
Phone number: 904-910-1065
Mailing Address
KRISTINE LEIGH TAVRISOV M.S. CCC-SLP
11420 CAMPFIELD CIR
JACKSONVILLE, FL 32256-3907
Phone number: 904-910-1065
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