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Individual
DENISE A GAGE
Active
Individual
DENISE A GAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC, LSLS, CERT
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10121
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004384601
—
TX
01
—
01040089
AMERIGROUP
TX
01
—
1104839786
SPEECH ENTERPRISES, INC. NPI
TX
Enumeration date
04/25/2007
Last updated
02/27/2013
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