Individual
ASHLEY BARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1512 JACKSON STREET, PORT LAVACA, TX 77979
(361) 552-3317
Mailing address
607 TILLEY STREET, PORT LAVACA, TX 77979
(361) 552-2550
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
107072
TX
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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