Individual
MRS. CINDY RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH PATHOLOGIST
Contact information
Practice address
212 N OAK ST, ROANOKE, TX 76262-7000
(817) 797-0315
Mailing address
212 N OAK ST, ROANOKE, TX 76262-7000
(817) 797-0315
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12595
TX
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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