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Organization

MIDLAND SPEECH CENTER LLC

Active
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Organization

MIDLAND SPEECH CENTER LLC

Active
Other names
Midland Speech Center
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DARA L JACKSON M.S., CCC-SLP (PRESIDENT/SPEECH-LANGUAGE PATHOLOGI)
(575) 444-8047
Entity
Organization

Contact information

Practice address
1608 W TEXAS AVE, MIDLAND, TX 79701-6559
(432) 279-1133
Mailing address
1608 W TEXAS AVE, MIDLAND, TX 79701-6559
(432) 279-1133

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
106215
TX
235Z00000X
Speech-Language Pathologist
Primary
110650
TX

Other

Enumeration date
03/07/2017
Last updated
03/07/2017
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