Individual
JADEN RENEE CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 E MAIN ST, ALICE, TX 78332-4969
(361) 396-4029
Mailing address
1204 ALASKA ST, ALICE, TX 78332-4234
(361) 562-8890
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
42404
TX
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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