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1790037018
ANGELA LYN NORTHCUTT
SOUTHLAKE, TX
NPI
1790037018
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Former Name
ANGELA LYN MONTEZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 104403)
Enumeration Date
2012-10-10
Last Update Date
2012-10-10
Business Address
-- ANGELA LYN NORTHCUTT CCC-SLP
2425 E SOUTHLAKE BLVD #100
SOUTHLAKE, TX 76092-6674
Phone number: 817-442-0222
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Mailing Address
-- ANGELA LYN NORTHCUTT CCC-SLP
2425 E SOUTHLAKE BLVD #100
SOUTHLAKE, TX 76092-6674
Phone number: 817-442-0222
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