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Individual

ANNELISE OSWALT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
2051 TEXAN DR, JUSTIN, TX 76247-8791
(817) 215-0350
Mailing address
1114 WYNDBROOK DR, JUSTIN, TX 76247-1586
(469) 417-9553

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
117372
TX

Other

Enumeration date
08/04/2022
Last updated
08/04/2022
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