Individual
MRS. BOBBIE ANNETTE FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1221 E KINGSBURY ST, SEGUIN, TX 78155-2152
(830) 401-8651
Mailing address
4524 PRAIRIE JCT, SEGUIN, TX 78155-1833
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
103501
TX
Other
Enumeration date
03/04/2022
Last updated
03/04/2022
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