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Organization
PINEY WOODS SPEECH PATHOLOGY, PLLC
Active
Organization
PINEY WOODS SPEECH PATHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE DESPAIN MS, CCC/SLP (OWNER, SOLE MBR)
(409) 202-5002
Entity
Organization
Contact information
Practice address
526 S WHEELER ST, JASPER, TX 75951-4540
(409) 202-5002
(844) 848-9342
Mailing address
526 S WHEELER ST, JASPER, TX 75951-4540
(409) 202-5002
(844) 848-9342
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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