Individual
MRS. MARY TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
513 PALM ST, LA PLACE, LA 70068-4021
(830) 370-2418
Mailing address
513 PALM ST, LA PLACE, LA 70068-4021
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
103697
TX
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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