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CRISTINA ALEXANDRA WIBORG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
2900 S COMMERCE PKWY, WESTON, FL 33331-3622
(954) 385-6243
Mailing address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(954) 385-6243

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002372200
FL
Enumeration date
06/25/2010
Last updated
04/03/2012
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