Individual
GLADYS CRYSTAL GUTIERREZ -ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1016 MAGNOLIA ST, MANSFIELD, TX 76063-1745
(817) 299-4330
Mailing address
3023 N CAMINO LAGOS, GRAND PRAIRIE, TX 75054-6797
(817) 880-1555
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
34507
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
465617571
—
TX
Enumeration date
05/26/2022
Last updated
05/26/2022
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