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1972838886
MARY ELIZABETH UYTTEWAAL
PORT ORANGE, FL
NPI
1972838886
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Former Name
MARY ELIZABETH JOHNSTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA9061)
Enumeration Date
2009-10-09
Last Update Date
2009-10-09
Business Address
-- MARY ELIZABETH UYTTEWAAL MS CCC/SLP
1675 DUNLAWTON AVE
PORT ORANGE, FL 32127-4755
Phone number: 386-761-1055
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Mailing Address
-- MARY ELIZABETH UYTTEWAAL MS CCC/SLP
2222 SULLIVAN TRL
EASTON, PA 18040-7958
Phone number: 800-944-9782
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