Individual
SARA C DELEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
4620 LEEWARD LN, APT 617, FORT WORTH, TX 76135-2573
(817) 253-8386
Mailing address
4620 LEEWARD LN, APT 617, FORT WORTH, TX 76135-2573
(817) 253-8386
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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