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Individual

DENISSE GABRIELA CASTILLEJOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1527 BROWN ST STE A, EL PASO, TX 79902-4737
(915) 600-2069
(915) 500-1875
Mailing address
4849 N MESA ST STE 201, EL PASO, TX 79912-5919
(915) 351-6600
(915) 351-6601

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11690
TX
235Z00000X
Speech-Language Pathologist
37459
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
116980
TEXAS DEPARTMENT OF LICENSING & REGISTRATION
TX
05
149984001
TX
05
2071649010
TX
Enumeration date
02/15/2013
Last updated
11/11/2021
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