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1780011387
SHAINA MARIE PROCTOR
ORLANDO, FL
NPI
1780011387
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA11343)
Enumeration Date
2013-09-27
Last Update Date
2023-03-06
Business Address
SHAINA MARIE PROCTOR M.S.,CCC-SLP
1239 MOUNT VERNON ST FL 32803
ORLANDO, FL 32803-5417
Phone number: 407-810-2773
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Mailing Address
SHAINA MARIE PROCTOR M.S.,CCC-SLP
960 RIVECON AVE
ORLANDO, FL 32825
Phone number: 786-246-2046
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