Individual
CIARA T COSTABILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9000 SHERIDAN ST STE 107, PEMBROKE PINES, FL 33024-8802
(754) 201-9391
Mailing address
511 SE 5TH AVE APT 2007, FORT LAUDERDALE, FL 33301-2979
(226) 750-8355
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ12259
FL
Other
Enumeration date
09/16/2024
Last updated
12/03/2024
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