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Individual

ANNA WISE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
5012 WENONAH DR, DALLAS, TX 75209-4833
(662) 574-3861
Mailing address
5012 WENONAH DR, DALLAS, TX 75209-4833
(662) 574-3861

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
112574
TX

Other

Enumeration date
04/03/2018
Last updated
04/03/2018
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