Individual
CASSIE LYN THOMAS-TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2602 S BELT LINE RD, GRAND PRAIRIE, TX 75052-5344
(972) 264-6141
Mailing address
PO BOX 531170, GRAND PRAIRIE, TX 75053-1170
(972) 264-6141
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
118372
TX
235Z00000X
Speech-Language Pathologist
8564
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
LA
05
—
NA
—
LA
Enumeration date
07/13/2020
Last updated
11/10/2023
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