Individual
STEPHANIE NA SHAY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
545 ROWLETT RD, SUITE A OR B, GARLAND, TX 75043-3700
(972) 303-7000
Mailing address
2100 SPENCER RD, APT. 1911, DENTON, TX 76205-5163
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
34962
TX
Other
Enumeration date
11/03/2009
Last updated
11/03/2009
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