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Organization

FORT WORTH INDEPENDENT SCHOOL SYSTEM

Active
Other names
Speech, Language & Hearing Services
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KATHLEEN ANNE EVERSON AUD (AUDIOLOGIST)
(817) 814-6449
Entity
Organization

Contact information

Practice address
5100 EL CAMPO AVE, SPEECH, LANGUAGE & HEARING SERVICES, FORT WORTH, TX 76107-4864
(817) 814-6449
(817) 814-6452
Mailing address
5100 EL CAMPO AVE, SPEECH, LANGUAGE & HEARING SERVICES, FORT WORTH, TX 76107-4864
(817) 814-6449
(817) 814-6452

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
50124
TX
251300000X
Local Education Agency (LEA)
50573
TX
251300000X
Local Education Agency (LEA)
50623
TX

Other

Enumeration date
08/19/2009
Last updated
08/19/2009
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