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1710683503
CARISSA D FOLSOM
MELBOURNE, FL
NPI
1710683503
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA14948)
Enumeration Date
2023-02-02
Last Update Date
2023-02-02
Business Address
Mrs. CARISSA D FOLSOM
1400 COMMODORE BLVD
MELBOURNE, FL 32935-4199
Phone number: 321-242-6400
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Mailing Address
Mrs. CARISSA D FOLSOM
1500 MORGAN CT
MELBOURNE, FL 32934-9083
Phone number: 321-508-6937
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