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1922720382
ELIZABETH BOTTS PENROD
PORT SAINT LUCIE, FL
NPI
1922720382
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA6836)
Enumeration Date
2022-09-13
Last Update Date
2022-09-13
Business Address
ELIZABETH BOTTS PENROD MS CCC/SLP
857 SE FORGAL ST
PORT SAINT LUCIE, FL 34983-2781
Phone number: 772-631-9366
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Mailing Address
ELIZABETH BOTTS PENROD MS CCC/SLP
857 SE FORGAL ST
PORT SAINT LUCIE, FL 34983-2781
Phone number: 772-631-9366
Copy
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