MS. Lucille Idarola, CCC-SLP
NPI #1215123260 in Fort White, Florida
Provider Information
- NPI Number
- 1215123260
- Entity Type
- Individual
- Name
- MS. Lucille Idarola, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- CCC-SLP
- Enumeration Date
- Sep 23, 2007
- Last Updated
- Sep 23, 2007
Practice Location
- Address
- 2495 SW CENTERVILLE AVE
- City
- Fort White
- State
- Florida
- ZIP Code
- 32038-6110
- Phone
- (352) 339-5753
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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