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Individual

DIANA HENSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
100 N HWY 77 STE F, RAYMONDVILLE, TX 78580-4009
(956) 689-5301
(956) 689-2004
Mailing address
PO BOX 92, RAYMONDVILLE, TX 78580-0092
(956) 689-5301

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15424
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15424
STATE LICENSE
TX
Enumeration date
12/27/2006
Last updated
06/01/2009
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