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Organization

EASTER SEALS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LOU MANGOLD (DEPUTY EXECUTIVE DIRECTOR)
(210) 614-3911
Entity
Organization

Contact information

Practice address
2203 BABCOCK RD, SAN ANTONIO, TX 78229-4412
(210) 614-3911
(210) 616-0443
Mailing address
2203 BABCOCK RD, SAN ANTONIO, TX 78229-4412
(210) 614-3911
(210) 616-0443

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
33005
TX

Other

Enumeration date
12/31/2015
Last updated
12/31/2015
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