Individual
MS. CORRIE CASTELLUCCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
17958 W BROWN ST, WADDELL, AZ 85355-4151
(623) 466-0760
Mailing address
6610 N 93RD AVE APT 3113, GLENDALE, AZ 85305-3203
(480) 235-1836
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
3984527
AZ
Other
Enumeration date
02/11/2008
Last updated
06/30/2011
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