Individual
MARY KAY WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
1248 AUSTIN HWY, SUITE 210, SAN ANTONIO, TX 78209-4821
(210) 646-8008
(210) 646-8242
Mailing address
1248 AUSTIN HWY, SUITE 210, SAN ANTONIO, TX 78209-4821
(210) 646-8008
(210) 646-8242
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
35255
TX
Other
Enumeration date
10/19/2009
Last updated
10/19/2009
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