Individual
KARA ELIZABETH RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
982 BLUFFS AVE, BOWIE, TX 76230-8571
(940) 577-4550
Mailing address
982 BLUFFS AVE, BOWIE, TX 76230-8571
(940) 577-4550
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
35332
TX
Other
Enumeration date
03/31/2019
Last updated
03/31/2019
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