Individual
CLAIRE TANZILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
320 N MAIN ST, WINNSBORO, TX 75494-2524
(903) 342-6790
Mailing address
104 BISON TRL, LONGVIEW, TX 75601-8704
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
111784
TX
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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