Individual
SEAN MICHAEL MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 EDLOE ST APT 1802, HOUSTON, TX 77027-6518
(832) 603-1514
Mailing address
3400 EDLOE ST APT 1802, HOUSTON, TX 77027-6518
(832) 603-1514
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
41883
TX
Other
Enumeration date
05/28/2021
Last updated
06/24/2024
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