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1780354860
LACEY DAVIS
TYLER, TX
NPI
1780354860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: TX 118922)
Enumeration Date
2021-09-20
Last Update Date
2021-09-20
Business Address
LACEY DAVIS
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number: 903-525-3714
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Mailing Address
LACEY DAVIS
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number:
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