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Individual

ALICIA FORTUNATO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. CCC-SLP

Contact information

Practice address
1652 KELLER PARKWAY, STE 100, KELLER, TX 76248-3876
(817) 562-3111
(817) 562-3114
Mailing address
1652 KELLER PARKWAY, STE 100, KELLER, TX 76248-3876
(817) 562-3111
(817) 562-3114

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
116738
TX

Other

Enumeration date
08/03/2020
Last updated
09/16/2021
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