Individual
HANNAH BAISDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
345 TOMLINSON ST, SOUR LAKE, TX 77659-3837
(409) 504-1192
Mailing address
345 TOMLINSON ST, SOUR LAKE, TX 77659-3837
(409) 504-1192
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
40246
TX
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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