Individual
MRS. KEYONIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-ASSISTANT
Contact information
Practice address
6301 GASTON AVE STE 750, DALLAS, TX 75214-3922
(214) 295-5374
Mailing address
3020 COUNTRY SQUARE DR APT 1239, CARROLLTON, TX 75006-5329
(318) 499-8545
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
38768
TX
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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