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Organization

AMY C. HAVENOR

Active
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Organization

AMY C. HAVENOR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY C. HAVENOR CCC/SLP (OWNER)
(972) 387-1100
Entity
Organization

Contact information

Practice address
12880 HILLCREST RD STE 102, DALLAS, TX 75230-1501
(972) 387-1100
(972) 692-7332
Mailing address
12880 HILLCREST RD STE 102, DALLAS, TX 75230-1501
(972) 387-1100
(972) 692-7332

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—

Other

Enumeration date
10/15/2008
Last updated
10/15/2008
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