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1700514866
BETHANY ANN LAQUE
SAN ANTONIO, TX
NPI
1700514866
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 118044)
Enumeration Date
2022-08-08
Last Update Date
2022-08-08
Business Address
Mrs. BETHANY ANN LAQUE M.S., CCC-SLP
7035 SAN PEDRO AVE
SAN ANTONIO, TX 78216
Phone number: 956-377-8000
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Mailing Address
Mrs. BETHANY ANN LAQUE M.S., CCC-SLP
4311 CHARIOT
VON ORMY, TX 78073-5349
Phone number: 210-753-9366
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