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1326301961
DONNA MARIE NIESWIADOMY
FORT WORTH, TX
NPI
1326301961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 13292)
Enumeration Date
2012-06-19
Last Update Date
2012-06-19
Business Address
-- DONNA MARIE NIESWIADOMY
1617 PARK PLACE AVE SUITE 110
FORT WORTH, TX 76110-1300
Phone number: 817-921-5020
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Mailing Address
-- DONNA MARIE NIESWIADOMY
5316 TRAIL LAKE DR
FORT WORTH, TX 76133-1931
Phone number: 817-292-8787
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