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1831544840
KELSEY BLAKE FORD
AUSTIN, TX
NPI
1831544840
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: TX 39657)
Enumeration Date
2016-04-27
Last Update Date
2016-04-27
Business Address
Mrs. KELSEY BLAKE FORD
3721 EXECUTIVE CENTER DR #201
AUSTIN, TX 78731-1645
Phone number: 512-372-3777
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Mailing Address
Mrs. KELSEY BLAKE FORD
305 NE LOOP 820 BUSINESS TOWER 1, SUITE 200
HURST, TX 76053-7209
Phone number: 817-292-8787
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