Individual
ANDREA JANE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2106 SANDRA LN, GRAND PRAIRIE, TX 75052-2232
(717) 614-9131
Mailing address
2106 SANDRA LN, GRAND PRAIRIE, TX 75052-2232
(717) 614-9131
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
44321
TX
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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