Individual
MISS GINELIE BOTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-ASSISTANT
Contact information
Practice address
12708 RIATA VISTA CIR STE A106, AUSTIN, TX 78727-7174
(512) 795-2422
(512) 852-4485
Mailing address
12708 RIATA VISTA CIR STE A106, AUSTIN, TX 78727-7174
(512) 795-2422
(512) 852-4485
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
41080
TX
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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