Individual
MARIA J CASTRONOVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
215 S EAGLE ST, NEW BUFFALO, MI 49117-1337
(219) 877-4203
Mailing address
PO BOX 18, MICHIGAN CITY, IN 46361
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
960010
IN
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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