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1831854272
STACEY E MOORE
COLLEYVILLE, TX
NPI
1831854272
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 19371)
Enumeration Date
2021-11-01
Last Update Date
2021-11-01
Business Address
STACEY E MOORE
5800 COLLEYVILLE BLVD
COLLEYVILLE, TX 76034-6052
Phone number: 817-251-6888
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Mailing Address
STACEY E MOORE
5800 COLLEYVILLE BLVD
COLLEYVILLE, TX 76034-6052
Phone number: 817-251-6888
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