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Individual

DIANA VACCARO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
20615 FAWNBROOK CT, KATY, TX 77450-8548
(646) 645-2001
(281) 829-7897
Mailing address
20615 FAWNBROOK CT, KATY, TX 77450-8548
(646) 645-2001
(281) 829-7897

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
014088-1
NY
235Z00000X
Speech-Language Pathologist
Primary
104913
TX

Other

Enumeration date
11/04/2008
Last updated
10/12/2012
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