| Nickie Daraphone, | |
|
2675 Bridgewater Dr, Grand Prairie, TX 75054-7229 | |
| (806) 236-6281 | |
| Not Available |
| Full Name | Nickie Daraphone |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 2675 Bridgewater Dr, Grand Prairie, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750671251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 106135 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nickie Daraphone, 2675 Bridgewater Dr, Grand Prairie, TX 75054-7229 Ph: (806) 236-6281 | Nickie Daraphone, 2675 Bridgewater Dr, Grand Prairie, TX 75054-7229 Ph: (806) 236-6281 |
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