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1538897145
JUWAN ERIC JALEN CHILDERS
AUSTIN, TX
NPI
1538897145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 120073)
Enumeration Date
2022-08-11
Last Update Date
2022-08-11
Business Address
JUWAN ERIC JALEN CHILDERS SLP-I
12708 RIATA VISTA CIR STE A106
AUSTIN, TX 78727-7174
Phone number: 512-795-2423
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Mailing Address
JUWAN ERIC JALEN CHILDERS SLP-I
12708 RIATA VISTA CIR STE A106
AUSTIN, TX 78727-7174
Phone number:
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