Individual
BRANDY CLYDENE CLEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 BILLIE RUTH LN, HURST, TX 76053-5406
(214) 870-3523
Mailing address
525 BILLIE RUTH LN, HURST, TX 76053-5406
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
100290
TX
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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