Individual
LAURA CUMMINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1286 TIDWELL RD, WEATHERFORD, TX 76087-8188
(817) 550-5058
Mailing address
1286 TIDWELL RD, WEATHERFORD, TX 76087-8188
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
39276
TX
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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