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Individual

CORRIE MOSQUEDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
1111 E AILSIE AVE, KINGSVILLE, TX 78363-6811
(361) 592-8511
Mailing address
1111 E AILSIE AVE, KINGSVILLE, TX 78363-6811
(361) 592-8511

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
116106
TX

Other

Enumeration date
08/09/2023
Last updated
08/09/2023
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