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Organization
LIFE SKILLS THERAPY, PLLC
Active
Organization
LIFE SKILLS THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEAN K FERGUSON M.A. CCC-SLP (OWNER, SPEECH LANGUAGE PATHOLOGIST)
(216) 832-6012
Entity
Organization
Contact information
Practice address
900 LOVETT BLVD, HOUSTON, TX 77006-3908
(216) 832-6012
(713) 583-7807
Mailing address
4848 PIN OAK PARK APT 402, HOUSTON, TX 77081-2278
(216) 832-6012
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
SLP TX 108380
TX
261QR0400X
Rehabilitation Clinic/Center
108380
TX
Other
Enumeration date
06/18/2016
Last updated
06/28/2016
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