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Individual

AMY JEAN VILLARREAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BA, SLP-ASSISTANT

Contact information

Practice address
4211 GARDENDALE ST STE A201, SAN ANTONIO, TX 78229-3180
(210) 614-4434
(210) 614-4407
Mailing address
9826 MARBACH CYN, SAN ANTONIO, TX 78245-1695
(210) 289-6129

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1578708483
TX
Enumeration date
08/31/2018
Last updated
08/31/2018
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