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Individual

DEJA RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP-ASSISTANT

Contact information

Practice address
6399 FISHTRAP RD, DENTON, TX 76208-1607
(940) 663-3066
Mailing address
920 N AUSTIN ST APT 1, DENTON, TX 76201-3162

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
42471
TX

Other

Enumeration date
09/25/2025
Last updated
09/25/2025
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