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Organization
WTN-SPEECH THERAPY
Active
Organization
WTN-SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARCIA REESE M.ED (OWNER)
(254) 458-0020
Entity
Organization
Contact information
Practice address
511 N RALEIGH ST, ANGIER, NC 27501-9121
(910) 693-5515
Mailing address
1010 WEST JASPER RD. DR. STE. 9, KILLEEN, TX 76542
(254) 458-0020
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
33933
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336448448
—
TX
Enumeration date
05/22/2014
Last updated
05/22/2014
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