NICOLE LILIENTHAL, MS, CCC-SLP, PA
Speech Language Pathology at Sunset Dr, Fort Lauderdale, FL

License number
Florida SA5711
Category
Speech Language Pathology
Type
Speech-Language Pathologist
Owner
Name: MRS. NICOLE MIEZEJESKI LILIENTHAL MS, CCC-SLP
Title: PRESIDENT
Phone: (954) 478-4192
Address
Address
340 Sunset Dr APT 410, Fort Lauderdale, FL 33301
National Provider ID: 1043338775
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Nicole Lilienthal, M.S., Ccc-Slp PA

Fort Lauderdale, FL

Industry:
Health Practitioner's Office, Nonclassifiable Establishments
Registration:
Jul 13, 2004
Addresses:
401 E Las Olas Blvd, Fort Lauderdale, FL 33301
340 Sunset Dr, Fort Lauderdale, FL 33301
State ID:
P04000104062
Business type:
Domestic for Profit Corporation
President:
Nicole Lilienthal (President)

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