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1861232555
ELLEN JESSE
AUSTIN, TX
NPI
1861232555
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 118325)
Enumeration Date
2024-05-29
Last Update Date
2024-05-29
Business Address
ELLEN JESSE M.S., CCC-SLP
111 W ANDERSON LN STE C100
AUSTIN, TX 78752-1119
Phone number: 512-451-0961
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Mailing Address
ELLEN JESSE M.S., CCC-SLP
111 W ANDERSON LN STE C100
AUSTIN, TX 78752-1119
Phone number: 512-451-0961
Copy
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