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Individual

INDANESIA PINCHBACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLPA

Contact information

Practice address
2200 SEVILLE CT, ARLINGTON, TX 76013-5803
(972) 955-3605
Mailing address
2200 SEVILLE CT, ARLINGTON, TX 76013-5803
(972) 955-3605

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
42586
TX

Other

Enumeration date
07/12/2022
Last updated
07/12/2022
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