Individual
ALLISON DOMLOVIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9635 MILLRIDGE DR, DALLAS, TX 75243-6117
(714) 234-9252
Mailing address
9635 MILLRIDGE DR, DALLAS, TX 75243-6117
(714) 234-9252
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
109762
TX
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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