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Organization
THE COMMUNICATION CLUBHOUSE
Active
Organization
THE COMMUNICATION CLUBHOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE GONZALEZ DEVOSS JD, MS, CCC-SLP (MANAGER)
(214) 952-2684
Entity
Organization
Contact information
Practice address
9747 BROKEN BOW RD, DALLAS, TX 75238-2507
(214) 952-2684
Mailing address
9747 BROKEN BOW RD, DALLAS, TX 75238-2507
(214) 952-2684
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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