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1144656877
KIM ELAINE MOORE HENDERSON
SAN ANTONIO, TX
NPI
1144656877
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 11612)
Enumeration Date
2013-09-26
Last Update Date
2013-09-26
Business Address
-- KIM ELAINE MOORE HENDERSON CCC - SLP
15911 NACOGDOCHES RD
SAN ANTONIO, TX 78247-1107
Phone number: 210-599-7733
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Mailing Address
-- KIM ELAINE MOORE HENDERSON CCC - SLP
15911 NACOGDOCHES RD
SAN ANTONIO, TX 78247-1107
Phone number: 210-599-7733
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