Individual
CHASEY WARDRUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-ASSISTANT
Contact information
Practice address
14651 DALLAS PKWY STE 200, DALLAS, TX 75254-8856
(866) 919-3240
Mailing address
422 TECH PL, TYLER, TX 75701-7951
(903) 952-9344
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
42384
TX
Other
Enumeration date
05/27/2022
Last updated
05/27/2022
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