LARA GABRIELLE ELY

SOUTHLAKE, TX
NPI1093443715
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: TX  116742)
Enumeration Date2022-08-10
Last Update Date2023-07-26
Business Address
LARA GABRIELLE ELY
2400 N CARROLL AVE
SOUTHLAKE, TX 76092-3105
Phone number: 817-949-8400
Mailing Address
LARA GABRIELLE ELY
4114 COZY PINE DR
NORTHLAKE, TX 76226-2722
Phone number: 817-657-2106
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