Individual
SALLY GITHAIGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11734 FERGUSON RD, DALLAS, TX 75228-8202
(214) 527-7914
(972) 686-1052
Mailing address
14501 MONTFORT DR APT 933, DALLAS, TX 75254-8589
(214) 527-7914
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
TX
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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