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Organization

CONQUEST SPEECH THERAPY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KENDALL CAIN (SPEECH PATHOLOGIST)
(214) 213-0054
Entity
Organization

Contact information

Practice address
620 W WESTCHESTER PKWY, 5204, GRAND PRAIRIE, TX 75052-3299
(214) 213-0054
Mailing address
PO BOX 541415, GRAND PRAIRIE, TX 75054-1415
(214) 213-0054

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
101594
TX

Other

Enumeration date
03/16/2009
Last updated
06/28/2010
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