Individual
BRANDY WALCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 S LHS DR APT 229, LUMBERTON, TX 77657-8749
(409) 221-1726
Mailing address
115 S LHS DR APT 229, LUMBERTON, TX 77657-8749
(409) 221-1726
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
112221
TX
Other
Enumeration date
07/20/2015
Last updated
06/05/2021
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