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Organization
SPONTANEOUS EXPRESSIONS LLC
Active
Organization
SPONTANEOUS EXPRESSIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIEEDA WARD (CLINICAL DIRECTOR/SPEECH THERAPIST)
(910) 262-8159
Entity
Organization
Contact information
Practice address
601 QUAIL VALLEY DR, GEORGETOWN, TX 78626-8051
(512) 843-3136
Mailing address
3612 PARKMILL DR, KILLEEN, TX 76542-6473
(910) 262-8159
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
02/11/2021
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