Individual
SHANNON BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
508 S ADAMS ST STE 102, FORT WORTH, TX 76104-2151
(817) 878-2834
Mailing address
2435 PRESIDENTIAL DR, CLEBURNE, TX 76031-0304
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
31541
TX
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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