person
Khadijah Victoria Rose, BASLPA
Speech-Language Assistant in Brooksville, Florida
NPI 1679115422

Khadijah Victoria Rose is a Speech-Language Assistant based in Lutz, FL and is specialized in Speech-Language Assistant. Khadijah Victoria Rose practices in Brooksville, FL and has the professional credentials of BASLPA. The NPI Number for Khadijah Victoria Rose is 1679115422 and holds a License No. (Florida).

The current practice location address for Khadijah Victoria Rose is 297 N Broad St, Brooksville, FL and can be reached out via phone at 352-796-0069 and via fax at 352-796-9194. You can also correspond with Khadijah Victoria Rose through the mailing address at 1955 CRAPE MYRTLE LOOP APT 102, LUTZ, FL - 33549-4011 (mailing address contact number: 561-713-3308).

Location: 297 N Broad St, Brooksville, FL, 33549-4011
person
Provider Profile Details
NPI Number
1679115422
Provider Name
Khadijah Victoria Rose
Credential
BASLPA
Provider Entity Type
Individual
Gender
Female
Address
297 N Broad St, Brooksville, FL, 33549-4011
Phone Number
352-796-0069
Fax Number
352-796-9194
Provider Enumeration Date
10/14/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
297 N Broad St
City
State
Zip
34601-2925
Phone Number
352-796-0069
Fax Number
352-796-9194
person
Provider Business Mailing Address Details
Address
1955 Crape Myrtle Loop Apt 102
City
State
Zip
33549-4011
Phone Number
561-713-3308
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
Speech-Language Assistant
Taxonomy
License No.
()
Definition
Definition to come...
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