Individual
MRS. KELLYE MICHELLE HOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
448 SIDNEY BAKER S STE 103, KERRVILLE, TX 78028-5980
(830) 896-3130
(830) 896-3132
Mailing address
188 N 4TH ST, TILLAR, AR 71670-8510
(870) 222-8115
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
35052
TX
Other
Enumeration date
07/30/2009
Last updated
05/13/2010
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