Billie Jo Revels
NPI #1063246502 in Crescent City, Florida
Provider Information
- NPI Number
- 1063246502
- Entity Type
- Individual
- Name
- Billie Jo Revels
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Aug 28, 2024
- Last Updated
- Aug 28, 2024
Practice Location
- Address
- 100 N LAKE ST
- City
- Crescent City
- State
- Florida
- ZIP Code
- 32112-2620
- Phone
- (386) 937-0173
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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