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1093487829
EVONNA LOUISE LEYENDEKKER
FORT WORTH, TX
NPI
1093487829
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: TX 103998)
Enumeration Date
2021-09-30
Last Update Date
2021-09-30
Business Address
EVONNA LOUISE LEYENDEKKER MS CCC-SLP
1600 TEXAS ST
FORT WORTH, TX 76102-3497
Phone number: 817-338-2400
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Mailing Address
EVONNA LOUISE LEYENDEKKER MS CCC-SLP
5401 CRATER LAKE DR
FORT WORTH, TX 76137-4449
Phone number: 817-736-5311
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