Individual
LILIANA MAYELA SOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, ASSISTANT SLP
Contact information
Practice address
1200 SUMMIT AVE, FORT WORTH, TX 76102-4403
(817) 546-8661
Mailing address
816 VAUGHN AVE, FORT WORTH, TX 76140-3740
(817) 658-5679
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
37620
TX
Other
Enumeration date
10/27/2017
Last updated
10/27/2017
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