Individual
KOI D WEBSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1228 GOFFIN DR, DESOTO, TX 75115-7228
(469) 223-0063
Mailing address
1228 GOFFIN DR, DESOTO, TX 75115-7228
(469) 223-0063
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
42746
TX
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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