Individual
CORA MERCEDES SCOVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15601 DALLAS PKWY STE 125, ADDISON, TX 75001-3353
(214) 292-9900
Mailing address
1100 LAKE CAROLYN PKWY APT 3011, IRVING, TX 75039-4714
(402) 213-3020
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
118931
TX
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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