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Individual

MS. JANET K. CARBONNEAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2308 LAKE AUSTIN BLVD, AUSTIN, TX 78703-4546
(512) 469-0392
(512) 236-1774
Mailing address
2308 LAKE AUSTIN BLVD, AUSTIN, TX 78703-4546
(512) 469-0392
(512) 236-1774

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT02535
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DT02535
LICENSED DIETITIAN
TX
Enumeration date
08/09/2006
Last updated
07/08/2007
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