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Organization
SPEECH AUTHORITY OF AUSTIN
Active
Organization
SPEECH AUTHORITY OF AUSTIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVONNE LORG (MEMBER)
(512) 297-5499
Entity
Organization
Contact information
Practice address
12609 RUSH CREEK LN, AUSTIN, TX 78732-1992
(512) 297-5499
Mailing address
12609 RUSH CREEK LN, AUSTIN, TX 78732-1992
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
101087
TX
Other
Enumeration date
07/24/2011
Last updated
07/24/2011
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