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Organization
FOX THERAPIES, LLC
Active
Organization
FOX THERAPIES, LLC
Active
Other names
Fox Therapies, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LAISLEE S VAN ETTEN M.S., CCC-SLP (SLP/OWNER)
(512) 542-1265
Entity
Organization
Contact information
Practice address
8721 SOUTHWICK DR, AUSTIN, TX 78724-7249
(512) 542-1265
Mailing address
8721 SOUTHWICK DR, AUSTIN, TX 78724-7249
(512) 542-1265
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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