Individual
MRS. BETHANY SHEA LANKFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
504 4TH STREET, GRUVER, TX 79040
(806) 290-4145
Mailing address
P.O. BOX 1098, GRUVER, TX 79040
(806) 290-4145
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
103560
TX
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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