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Organization
MAIN STREET SPEECH THERAPY CLINIC
Active
Organization
MAIN STREET SPEECH THERAPY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLON ANN EAGAN (SPEECH LANGUAGE PATHOLOGIST)
(281) 650-4635
Entity
Organization
Contact information
Practice address
6622 N MAIN ST, HOUSTON, TX 77009-1036
(281) 650-4635
Mailing address
6622 N MAIN ST, HOUSTON, TX 77009-1036
(281) 650-4635
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12931
TX
Other
Enumeration date
09/07/2007
Last updated
07/31/2012
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