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Mariah Kenagy
Speech-Language Assistant in Fort Myers, Florida
NPI 1932774858

Mariah Kenagy is a Speech-Language Assistant based in Fort Myers, FL and is specialized in Speech-Language Assistant. Mariah Kenagy practices in Fort Myers, FL. The NPI Number for Mariah Kenagy is 1932774858 and holds a License No. SI4523 (Florida).

The current practice location address for Mariah Kenagy is 4997 Royal Gulf Cir, Fort Myers, FL and can be reached out via phone at 239-313-5049.

Location: 4997 Royal Gulf Cir, Fort Myers, FL, 33966-7006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932774858
Provider Name
Mariah Kenagy
Credential
Provider Entity Type
Individual
Gender
Female
Address
4997 Royal Gulf Cir, Fort Myers, FL, 33966-7006
Phone Number
239-313-5049
Fax Number
Provider Enumeration Date
05/24/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SI4523 01 FL STATE LIC
institution
Provider Business Practice Location Address Details
Address
4997 Royal Gulf Cir
City
Fort Myers
State
Florida
Zip
33966-7006
Phone Number
239-313-5049
Fax Number
person
Provider Business Mailing Address Details
Address
4997 Royal Gulf Cir
City
Fort Myers
State
Florida
Zip
33966-7006
Phone Number
239-313-5049
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
Speech-Language Assistant
Taxonomy
2355S0801X
License No.
SI4523 (Florida)
Definition
Definition to come...
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