Individual
MRS. DOROTHY FERN ENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSE, TX LIC. SLP
Contact information
Practice address
8632 FREDERICKSBURG RD, SUITE 212, SAN ANTONIO, TX 78240-1264
(210) 696-5777
(505) 468-9476
Mailing address
9406 ARBOIS, SAN ANTONIO, TX 78254-5818
(210) 681-3069
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13418
TX
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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