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1982790911
SUSAN ANNETTE MOODY
EDINBURG, TX
NPI
1982790911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 15936)
Enumeration Date
2006-10-05
Last Update Date
2007-07-08
Business Address
Ms. SUSAN ANNETTE MOODY SLP
1900 W SCHUNIOR ST
EDINBURG, TX 78541
Phone number: 956-984-6163
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Mailing Address
Ms. SUSAN ANNETTE MOODY SLP
BOX 4321 CLUSTER
PORT ISABEL, TX 78578
Phone number: 956-943-5160
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