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1790432227
STACI SCROGGIN LONG
KATY, TX
NPI
1790432227
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 109597)
Enumeration Date
2022-03-04
Last Update Date
2022-03-04
Business Address
STACI SCROGGIN LONG M.S., CCC-SLP
6301 S STADIUM LN
KATY, TX 77494-1057
Phone number: 281-234-2718
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Mailing Address
STACI SCROGGIN LONG M.S., CCC-SLP
10626 IVYRIDGE RD
HOUSTON, TX 77043-4140
Phone number:
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