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1780356014
JOHNNA KAYE HEADLEY
FORT WORTH, TX
NPI
1780356014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 117540)
Enumeration Date
2021-10-05
Last Update Date
2021-10-05
Business Address
JOHNNA KAYE HEADLEY
923 PENNSYLVANIA AVE STE 100
FORT WORTH, TX 76104-2254
Phone number: 817-920-0484
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Mailing Address
JOHNNA KAYE HEADLEY
PO BOX 961205
FORT WORTH, TX 76161-0205
Phone number: 817-740-8450
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