SANDRA CUSTODIO

MESQUITE, TX
NPI1366109761
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: TX  113901)
Enumeration Date2021-11-19
Last Update Date2021-11-19
Business Address
SANDRA CUSTODIO CCC-SLP
3020 POTEET DR
MESQUITE, TX 75150-4762
Phone number: 972-882-7233
Mailing Address
SANDRA CUSTODIO CCC-SLP
804 CAUBLE DR
FATE, TX 75087-6779
Phone number: 214-287-5184