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1003128687
BETSY ELIZABETH BERTHOLF
SAN JUAN, TX
NPI
1003128687
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 13142)
Enumeration Date
2010-07-12
Last Update Date
2011-09-14
Business Address
-- BETSY ELIZABETH BERTHOLF CCC-SLP
1201 N RAUL LONGORIA RD SUITE P
SAN JUAN, TX 78589-3727
Phone number: 210-520-1723
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Mailing Address
-- BETSY ELIZABETH BERTHOLF CCC-SLP
PO BOX 681271
SAN ANTONIO, TX 78268-1271
Phone number: 210-520-1723
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