Individual
KIMBERLY LEE MCCRACKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
1217 CREST PARK DR, MESQUITE, TX 75149-2337
(469) 226-7007
Mailing address
1217 CREST PARK DR, MESQUITE, TX 75149-2337
(469) 226-7007
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
39703
TX
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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