MARCO ANTONIO LICON

EL PASO, TX
NPI1598088213
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: TX  19046)
Enumeration Date2010-03-09
Last Update Date2010-03-09
Business Address
-- MARCO ANTONIO LICON MS,CCC-SLP
7806 GATEWAY BLVD E SUITE 100
EL PASO, TX 79915-1800
Phone number: 915-566-7584
Mailing Address
-- MARCO ANTONIO LICON MS,CCC-SLP
16023 DARLEY DR
HORIZON CITY, TX 79928-6500
Phone number:
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