Individual
AMIRA CORTNEY JESSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2322 BRANARD ST APT 3102, HOUSTON, TX 77098-2266
(206) 396-9809
Mailing address
2322 BRANARD ST APT 3102, HOUSTON, TX 77098-2266
(206) 396-9809
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
118851
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
N/A
—
Enumeration date
06/10/2022
Last updated
06/10/2022
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