Individual
BRILEY FAE RUTHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4441 LONG PRAIRIE RD, FLOWER MOUND, TX 75028-1960
(469) 458-7764
Mailing address
4441 LONG PRAIRIE RD, FLOWER MOUND, TX 75028-1960
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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