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1992267009
MADELINE JACKSON CANADY
SAINT PETERSBURG, FL
NPI
1992267009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 13403)
Enumeration Date
2019-04-05
Last Update Date
2023-10-03
Business Address
MADELINE JACKSON CANADY CCC-SLP
119 36TH AVE NE
SAINT PETERSBURG, FL 33704-1433
Phone number: 478-972-6911
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Mailing Address
MADELINE JACKSON CANADY CCC-SLP
119 36TH AVE NE
SAINT PETERSBURG, FL 33704-1433
Phone number: 478-972-6911
Copy
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