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1457442683
MICHELLE BENGTSON
SOUTHLAKE, TX
NPI
1457442683
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103G00000X Clinical Neuropsychologist
(Licence: TX 30853)
Enumeration Date
2006-09-26
Last Update Date
2007-07-08
Business Address
Dr. MICHELLE BENGTSON
700 E SOUTHLAKE BLVD STE 190
SOUTHLAKE, TX 76092-6351
Phone number: 817-251-0911
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Mailing Address
Dr. MICHELLE BENGTSON
425 E BOB JONES RD
ROANOKE, TX 76262-9216
Phone number: 817-491-2481
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