CARISSA D FOLSOM

MELBOURNE, FL
NPI1710683503
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: FL  SA14948)
Enumeration Date2023-02-02
Last Update Date2023-02-02
Business Address
Mrs. CARISSA D FOLSOM
1400 COMMODORE BLVD
MELBOURNE, FL 32935-4199
Phone number: 321-242-6400
Mailing Address
Mrs. CARISSA D FOLSOM
1500 MORGAN CT
MELBOURNE, FL 32934-9083
Phone number: 321-508-6937