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Organization
THERACARE P.C.
Active
Organization
THERACARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BONNI PROCTOR BRENNAN MS CCC/SLP (PRESIDENT/ADMIN)
(361) 550-0088
Entity
Organization
Contact information
Practice address
4504 LILAC LANE, SUITE 1, VICTORIA, TX 77901-2625
(361) 550-4744
(361) 582-4114
Mailing address
4504 LILAC LANE, SUITE 1, VICTORIA, TX 77901-2625
(361) 550-4744
(361) 582-4114
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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