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1083963078
EVIN LEANN FAHEY
SOUTHLAKE, TX
NPI
1083963078
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 104075)
Enumeration Date
2012-09-05
Last Update Date
2012-09-05
Business Address
Mrs. EVIN LEANN FAHEY M.S.CCC-SLP
101 WATERMERE DR
SOUTHLAKE, TX 76092-8116
Phone number: 817-431-8668
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Mailing Address
Mrs. EVIN LEANN FAHEY M.S.CCC-SLP
101 WATERMERE DR
SOUTHLAKE, TX 76092-8116
Phone number: 817-431-8668
Copy
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