PAMELA ANNA WYSUPH

FORT WORTH, TX
NPI1164707170
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist
(Licence: TX  13245)
Enumeration Date2011-10-21
Last Update Date2011-10-21
Business Address
PAMELA ANNA WYSUPH
5316 TRAIL LAKE DR
FORT WORTH, TX 76133-1931
Phone number: 817-292-8787
Mailing Address
PAMELA ANNA WYSUPH
5316 TRAIL LAKE DR
FORT WORTH, TX 76133-1931
Phone number: 817-292-8787
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