Individual
BEIMNET MAMO DEREJE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14651 DALLAS PKWY STE 200, DALLAS, TX 75254-8856
(832) 616-0593
Mailing address
14651 DALLAS PKWY STE 200, DALLAS, TX 75254-8856
(832) 616-0593
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
07/10/2022
Last updated
10/05/2023
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