Individual
MAYRA JEANINE MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP- ASSISTANT
Contact information
Practice address
21738 OAKBRIDGE PARK LN, KATY, TX 77450-5123
(832) 806-3240
Mailing address
14651 DALLAS PKWY STE 200, DALLAS, TX 75254-8856
(866) 919-3240
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
42565
TX
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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