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Individual

DIANA E. PRADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
6550 SPRINGFIELD AVE STE 101, LAREDO, TX 78041-6712
(956) 725-4555
(956) 725-3555
Mailing address
1301 WILDROSE LN, LAREDO, TX 78041-3307
(956) 220-7652

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
104755
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
32965
LICENSE
TX
Enumeration date
01/27/2007
Last updated
05/31/2011
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