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1881130409
LOREN TACKER
FORT WORTH, TX
NPI
1881130409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: TX 40010)
Enumeration Date
2017-01-07
Last Update Date
2017-01-07
Business Address
-- LOREN TACKER
8101 BOAT CLUB RD SUITE 160
FORT WORTH, TX 76179-3630
Phone number: 214-302-9725
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Mailing Address
-- LOREN TACKER
8101 BOAT CLUB RD SUITE 160
FORT WORTH, TX 76179-3630
Phone number: 214-302-9725
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