Individual
MS. CANDACE BAUMGART IBBOTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 ELIZABETH STREET, CORPUS CHRISTI, TX 78404
(361) 881-3518
Mailing address
202 ABERDEEN AVE, CORPUS CHRISTI, TX 78411-1231
(512) 970-5015
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14287
TX
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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