Individual
LESLIE LOREDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5801 WINIFRED DR, FORT WORTH, TX 76133-2707
(817) 944-1749
Mailing address
5801 WINIFRED DR, FORT WORTH, TX 76133-2707
(817) 944-1749
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
41154
TX
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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