Individual
AGNES CUISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
8351 EASTLEIGH CT, ELK GROVE, CA 95624-4066
(916) 320-7899
Mailing address
8351 EASTLEIGH CT, ELK GROVE, CA 95624-4066
(916) 320-7899
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP12992
CA
Other
Enumeration date
01/25/2007
Last updated
07/25/2014
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