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1245017813
ERICCA LONGBRAKE
SAN ANTONIO, TX
NPI
1245017813
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 116083)
Enumeration Date
2023-09-08
Last Update Date
2023-10-09
Business Address
ERICCA LONGBRAKE
100 GROSENBACHER RD N
SAN ANTONIO, TX 78253-4716
Phone number: 210-397-5500
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Mailing Address
ERICCA LONGBRAKE
5900 EVERS RD BLDG D
SAN ANTONIO, TX 78238-1606
Phone number: 210-397-8762
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