Individual
MRS. AUDREY POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1112 N FLOYD RD, SUITE 9, RICHARDSON, TX 75080-4243
(972) 470-5855
Mailing address
2620 STONELAKE DR, APT 621, GRAND PRAIRIE, TX 75050-8787
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
105908
TX
Other
Enumeration date
07/24/2010
Last updated
07/24/2010
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