Individual
SHELLEY RENE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC/SLP
Contact information
Practice address
5225 SOUTH LOOPE 289, STE 210, LUBBOCK, TN 79424-1319
(806) 780-4180
(806) 744-7458
Mailing address
305 NE LOOP 820, BUSINESS TOWER 1, SUITE 200, HURST, TX 76053
(817) 292-8787
(817) 789-6849
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17392
TX
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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