Individual
KEATON MAKENNA HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1333 CORPORATE DR STE 330, IRVING, TX 75038-2583
(972) 871-1800
Mailing address
821 ALLEN ST APT 215, DALLAS, TX 75204-5784
(940) 631-5849
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
41656
TX
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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