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Individual

MRS. MARANDA CLARA WILSON POGUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP-ASSISTANT

Contact information

Practice address
16303 CHELSEA PL APT 822, SELMA, TX 78154-1894
(618) 660-8992
Mailing address
16303 CHELSEA PL APT 822, SELMA, TX 78154-1894

Taxonomy

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

Other

Enumeration date
05/16/2018
Last updated
05/16/2018
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