Individual
MRS. TIESHA JACQUEL SWANIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., SLP- ASSISTANT
Contact information
Practice address
3800 W RISINGER RD, FORT WORTH, TX 76123-2346
(817) 360-5150
Mailing address
101 SUMMIT AVE, FORT WORTH, TX 76102-2618
(682) 730-0004
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
39391
TX
Other
Enumeration date
08/29/2018
Last updated
10/17/2018
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