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Organization
SPEECH BOOSTER
Active
Organization
SPEECH BOOSTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MISHON MIGALE ARBUCKLE M.ED., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(214) 549-4632
Entity
Organization
Contact information
Practice address
712 AMANDA AVE, DESOTO, TX 75115-3866
(214) 549-4632
Mailing address
712 AMANDA AVE, DESOTO, TX 75115-3866
(214) 549-4632
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
19956
TX
Other
Enumeration date
03/10/2009
Last updated
03/10/2009
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