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Organization
THE SPEECH GARDEN
Active
Organization
THE SPEECH GARDEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULISSA CAVAZOS (SLP)
(956) 821-2530
Entity
Organization
Contact information
Practice address
4963 AUGUSTA SQ, SAN ANTONIO, TX 78247-5670
(956) 821-2530
(210) 757-3600
Mailing address
4963 AUGUSTA SQ, SAN ANTONIO, TX 78247-5670
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
101388
TX
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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