Individual
DISNEY KWIATKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16835 DEER CREEK DR, SPRING, TX 77379-4968
(281) 379-4373
Mailing address
2118 TIMBERGREEN CIR, MAGNOLIA, TX 77355-3846
(281) 881-3157
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
112805
TX
Other
Enumeration date
10/05/2018
Last updated
10/05/2018
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