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Organization
NORTHWEST ISD
Active
Organization
NORTHWEST ISD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA ROSE CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(817) 698-1713
Entity
Organization
Contact information
Practice address
654 FM 3433, NEWARK, TX 76071-5431
(817) 698-1713
Mailing address
654 FM 3433, NEWARK, TX 76071-5431
(817) 698-1713
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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