Individual
JULIE WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3145 DENTON HWY, HALTOM CITY, TX 76117-3710
(817) 831-1078
Mailing address
6904 STONEHENGE RD, ODESSA, TX 79765-8924
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
24700
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149984001
—
TX
Enumeration date
07/14/2010
Last updated
07/14/2010
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