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Organization
CHAMPAGNE THERAPY LLC
Active
Organization
CHAMPAGNE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM CHAMPAGNE M.S., CCC-SLP (SPEECH LANGUAGE PATHOLOGIST/MANAGER)
(337) 344-5654
Entity
Organization
Contact information
Practice address
3106 QUARRY PLACE LN, KATY, TX 77493-1796
(337) 852-0971
Mailing address
3106 QUARRY PLACE LN, KATY, TX 77493-1796
(337) 852-0971
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
801936574
TX
Other
Enumeration date
02/24/2014
Last updated
02/24/2014
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