Individual
LEA CUERVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
545 W MOONGLO RD, SCOTTSBURG, IN 47170-7710
(812) 752-3499
Mailing address
545 W MOONGLO RD, SCOTTSBURG, IN 47170-7710
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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