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Individual

CRYSTAL DIANE VENEGAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
305 NE LOOP 820; BUSINESS TOWER1, SUITE 200, HURST, TX 76053
(817) 292-8787
(817) 789-6849
Mailing address
305 NE LOOP 820; BUSINESS TOWER1, SUITE 200, HURST, TX 76053
(817) 292-8787
(817) 789-6849

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
38641
TX

Other

Enumeration date
12/05/2014
Last updated
12/05/2014
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