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Individual

MRS. DAWN MARIE HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, SLP-INTERN

Contact information

Practice address
515 W LINGLEVILLE RD, STEPHENVILLE, TX 76401-2211
(254) 965-3611
(254) 965-3618
Mailing address
508 NW 5TH ST, MINERAL WELLS, TX 76067-4216
(940) 229-0372
(254) 965-3618

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
113888
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
113888
TEXAS DEPARTMENT OF LICENSING AND REGULATION
TX
Enumeration date
08/11/2017
Last updated
08/11/2017
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