LISA MIMS

DENTON, TX
NPI1770247967
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: TX  19652)
Enumeration Date2021-10-25
Last Update Date2021-10-25
Business Address
LISA MIMS SLP
1212 LONG RD
DENTON, TX 76207-4232
Phone number: 940-369-0553
Mailing Address
LISA MIMS SLP
1701 MONAHAN DR
LANTANA, TX 76226-1365
Phone number: 940-369-0553