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Organization
BLUE SKY SPEECH AND FEEDING THERAPY PLLC
Active
Organization
BLUE SKY SPEECH AND FEEDING THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MARIE MOORE CCC-SLP (OWNER)
(618) 792-8034
Entity
Organization
Contact information
Practice address
3621 WINIFRED DR, FORT WORTH, TX 76133-2126
(618) 792-8034
Mailing address
3621 WINIFRED DR, FORT WORTH, TX 76133-2126
(618) 792-8034
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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