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1134621220
MAUREEN O'DOHERTY DI VINCENZO
COPPELL, TX
NPI
1134621220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: VA 2202009125)
Enumeration Date
2018-03-05
Last Update Date
2024-08-12
Business Address
MAUREEN O'DOHERTY DI VINCENZO MS CCC-SLP
428 WELLINGTON RD
COPPELL, TX 75019-6705
Phone number: 541-771-0163
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Mailing Address
MAUREEN O'DOHERTY DI VINCENZO MS CCC-SLP
820 S MACARTHUR BLVD STE 105-149
COPPELL, TX 75019-4216
Phone number: 703-718-6603
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