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Individual

DESOREE JAMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2350 AIRPORT FWY STE 150, BEDFORD, TX 76022-6050
(817) 508-0030
Mailing address
4730 FAIRMOUNT ST APT 3210, DALLAS, TX 75219-1133
(601) 832-4696

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
40951
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
40951
TDLR
TX
Enumeration date
03/30/2020
Last updated
03/30/2020
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