Individual
CONNIE LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4445 SIERRA DR, GRAND PRAIRIE, TX 75052-3142
(972) 672-5179
Mailing address
4445 SIERRA DR, GRAND PRAIRIE, TX 75052-3142
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18976
TX
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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