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1316571003
SHAREE NICOLE CUPP
FORT WORTH, TX
NPI
1316571003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: TX 36165)
Enumeration Date
2020-03-03
Last Update Date
2020-03-03
Business Address
SHAREE NICOLE CUPP SLP Assistant
6530 HAWKS CREEK CT STE 107
FORT WORTH, TX 76114-1164
Phone number: 817-435-4631
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Mailing Address
SHAREE NICOLE CUPP SLP Assistant
4351 FM 1195
MINERAL WELLS, TX 76067-0731
Phone number: 940-745-0286
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