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Organization
LBF SPEECH COMMUNICATION CONSULTING SERVICES
Active
Organization
LBF SPEECH COMMUNICATION CONSULTING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEASONNA BOOZER-FULLER MA/CCC-SLP (OWNER/SPEECH-LANGUAGE PATHOLOGIST)
(210) 792-9722
Entity
Organization
Contact information
Practice address
15314 ALBRECHT LN, SELMA, TX 78154-1849
(210) 792-9722
Mailing address
15314 ALBRECHT LN, SELMA, TX 78154-1849
(210) 792-9722
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105498
SPEECH LICENSE
TX
Enumeration date
11/13/2019
Last updated
03/09/2020
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