Individual
MAURA ANN O'DEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
100 E FERGUSON ST, TYLER, TX 75702-5759
(877) 688-2520
Mailing address
5058 PALUXY DR APT 1101, TYLER, TX 75703-6328
(903) 271-6907
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
43653
TX
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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