Individual
DESARE ALEXANDRA CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3921 SWAN LAKE DR, MIDLOTHIAN, TX 76065-6813
(210) 268-4697
Mailing address
14160 DALLAS PKWY STE 415, DALLAS, TX 75254-4356
(972) 385-0006
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
39982
TX
235Z00000X
Speech-Language Pathologist
Primary
116657
TX
Other
Enumeration date
10/18/2018
Last updated
06/01/2021
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