Individual
AUDREY ANN GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(636) 541-8641
Mailing address
2475 N RANCH ESTATES BLVD, NEW BRAUNFELS, TX 78130-9124
(636) 541-8641
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
121724
TX
235Z00000X
Speech-Language Pathologist
146015949
IL
Other
Enumeration date
09/07/2023
Last updated
08/02/2024
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