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Organization
SOUTHERN CHARM THERAPEUTICS, PLLC
Active
Organization
SOUTHERN CHARM THERAPEUTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA GALE PENDLEY M.S., CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(940) 577-4551
Entity
Organization
Contact information
Practice address
605 GRAND OAKS CT, ALVORD, TX 76225-6020
(940) 577-4551
Mailing address
605 GRAND OAKS CT, ALVORD, TX 76225-6020
(940) 577-4551
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
107282
TX
235Z00000X
Speech-Language Pathologist
Primary
111652
TX
235Z00000X
Speech-Language Pathologist
111699
TX
235Z00000X
Speech-Language Pathologist
111782
TX
Other
Enumeration date
07/20/2016
Last updated
09/06/2016
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