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Individual

DEBBIE CONTOVEROS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ST

Contact information

Practice address
6558 SAINT MORITZ AVE, DALLAS, TX 75214-2428
(214) 826-8984
Mailing address
6558 SAINT MORITZ AVE, DALLAS, TX 75214-2428
(214) 826-8984

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14909
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14909
LICENSE NUMBER
TX
Enumeration date
04/09/2007
Last updated
07/08/2007
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