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Individual
MEGHAN WENZEL SHORT
Active
Individual
MEGHAN WENZEL SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
108736
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108736
TX SLP LICENSE
TX
Enumeration date
06/22/2020
Last updated
06/22/2020
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