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1720681067
TAYLOR SULLIVAN
SOUTHLAKE, TX
NPI
1720681067
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 109097)
Enumeration Date
2020-11-19
Last Update Date
2020-11-19
Business Address
TAYLOR SULLIVAN SLP
700 E STATE HIGHWAY 114
SOUTHLAKE, TX 76092-5236
Phone number: 817-873-2582
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Mailing Address
TAYLOR SULLIVAN SLP
203 PHOENIX DR
TROPHY CLUB, TX 76262-9771
Phone number:
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