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MRS. CYNTHIA LYNETTE FOUNTAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
2535 LONE STAR DR, DALLAS, TX 75212-6313
(214) 467-9787
Mailing address
110 TAOS CIR, WAXAHACHIE, TX 75165-1512
(817) 689-6263

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
19368
TX

Other

Enumeration date
03/17/2014
Last updated
03/17/2014
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