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1740994920
JACEY LYNN MOORE
DALLAS, TX
NPI
1740994920
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: TX 42963)
Enumeration Date
2023-01-11
Last Update Date
2023-01-11
Business Address
JACEY LYNN MOORE B.A., SLPA
14651 DALLAS PKWY STE 200
DALLAS, TX 75254-8856
Phone number: 254-366-9283
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Mailing Address
JACEY LYNN MOORE B.A., SLPA
22 HUNTINGTON WOODS ESTATES DR
TOMBALL, TX 77377-4700
Phone number: 254-366-9283
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