Individual
CHRISITNA AMORET MUCCIOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1112 NE 16TH AVE, FORT LAUDERDALE, FL 33304-2317
(862) 812-1077
Mailing address
1112 NE 16TH AVE, FORT LAUDERDALE, FL 33304-2317
(862) 812-1077
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17306
FL
Other
Enumeration date
04/15/2020
Last updated
04/15/2020
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