Individual
ASHLEY KALLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 E PARKER RD, PLANO, TX 75074-7708
(469) 752-6596
Mailing address
5349 AMESBURY DR APT 608, DALLAS, TX 75206-3488
(505) 688-2870
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
116436
TX
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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