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1174754386
LACY MOORE
AUSTIN, TX
NPI
1174754386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 104154)
Enumeration Date
2009-08-05
Last Update Date
2009-08-05
Business Address
-- LACY MOORE MA CCC-SLP
12429 SCOFIELD FARMS DR
AUSTIN, TX 78758
Phone number: 512-339-8687
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Mailing Address
-- LACY MOORE MA CCC-SLP
12429 SCOFIELD FARMS DR
AUSTIN, TX 78758-2640
Phone number:
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