KRISTEN DECIANCIO POWELL

JACKSONVILLE, FL
NPI1770146094
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: FL  SA16943)
Enumeration Date2019-04-22
Last Update Date2024-05-15
Business Address
KRISTEN DECIANCIO POWELL M.S., CCC-SLP
11512 LAKE MEAD AVE
JACKSONVILLE, FL 32256-9680
Phone number: 904-652-5408
Mailing Address
KRISTEN DECIANCIO POWELL M.S., CCC-SLP
14102 STERELY CT S
JACKSONVILLE, FL 32256-6892
Phone number: 904-303-7994
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