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Organization
OUR LADY OF THE LAKE UNIVERSITY
Active
Organization
OUR LADY OF THE LAKE UNIVERSITY
Active
Other names
Harry Jerisg Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ANN ACEVEDO PH. D. (DIRECTOR)
(210) 434-6711
Entity
Organization
Contact information
Practice address
411 SW 24TH ST, SAN ANTONIO, TX 78207-4617
(210) 434-6711
(210) 434-9360
Mailing address
411 SW 24TH ST, SAN ANTONIO, TX 78207-4617
(210) 434-6711
(210) 434-9360
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11218
TX
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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