Individual
MIREIDA VELAZQUEZ GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-A
Contact information
Practice address
100 N HWY 77 STE I, RAYMONDVILLE, TX 78580-4010
(956) 689-5301
(956) 689-2004
Mailing address
PO BOX 92, RAYMONDVILLE, TX 78580-0092
(956) 689-5301
(956) 689-2004
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
35624
TX
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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