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Individual

CHRISTY BRANCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., SLP-INTERN

Contact information

Practice address
100 E FERGUSON ST, TYLER, TX 75702-5759
(903) 509-2040
Mailing address
100 E FERGUSON ST, TYLER, TX 75702-5759
(903) 509-2040

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
111524
TX

Other

Enumeration date
09/01/2015
Last updated
09/01/2015
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