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Organization
STAR LIGHT SPEECH THERAPY SERVICES
Active
Organization
STAR LIGHT SPEECH THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDDWADO PERKIN M.S. CCC-SLP (OWNER)
(773) 640-8340
Entity
Organization
Contact information
Practice address
1308 MATTHEW DR, MESQUITE, TX 75149-7700
(773) 640-8340
Mailing address
1308 MATTHEW DR, MESQUITE, TX 75149-7700
(773) 640-8340
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
105956
TX
Other
Enumeration date
04/04/2013
Last updated
04/04/2013
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