BLAIR FRESHWATER

DALLAS, TX
NPI1396250601
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: TX  103355)
Enumeration Date2017-12-08
Last Update Date2017-12-08
Business Address
BLAIR FRESHWATER
2522 FORT WORTH AVE
DALLAS, TX 75211-1703
Phone number: 214-736-1632
Mailing Address
BLAIR FRESHWATER
17231 MARIANNE CIR
DALLAS, TX 75252-4015
Phone number: