Individual
DALAN COLE GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-SLP
Contact information
Practice address
101 PULLMAN PL, WYLIE, TX 75098-5329
(806) 789-2173
Mailing address
3306 38TH ST, LUBBOCK, TX 79413-2714
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
110054
TX
235Z00000X
Speech-Language Pathologist
38181
TX
Other
Enumeration date
07/23/2014
Last updated
02/05/2019
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