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1629526116
JOANNA VIDAL
CORAL GABLES, FL
NPI
1629526116
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: FL SI 1943)
Enumeration Date
2016-09-14
Last Update Date
2016-09-14
Business Address
-- JOANNA VIDAL SLPA
1550 S DIXIE HIGHWAY SUITE 203
CORAL GABLES, FL 33146
Phone number: 786-536-9714
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Mailing Address
-- JOANNA VIDAL SLPA
8670 NW 6TH LN APT 211
MIAMI, FL 33126-6830
Phone number: 786-515-7882
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