Individual
BOBBIE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
514 W AVENUE G, MULESHOE, TX 79347-3445
(806) 272-7323
Mailing address
121 FM 2079, MULESHOE, TX 79347-6122
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
4035
NM
235Z00000X
Speech-Language Pathologist
Primary
106750
TX
Other
Enumeration date
02/22/2007
Last updated
09/08/2021
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