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1508452335
MIA FONTENOT
DALLAS, TX
NPI
1508452335
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 116334)
Enumeration Date
2020-12-16
Last Update Date
2020-12-16
Business Address
MIA FONTENOT MS, CCC-SLP
8550 CADENZA LN
DALLAS, TX 75228-4923
Phone number: 214-328-4390
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Mailing Address
MIA FONTENOT MS, CCC-SLP
9615 GREENSPRINT DR
DALLAS, TX 75238-1855
Phone number: 214-668-7415
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