Individual
MRS. MAEGAN B CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22211 IH 10 W STE 1206, SAN ANTONIO, TX 78257-1742
(210) 742-5995
Mailing address
218 EMPRESARIO DR, SAN ANTONIO, TX 78253-9217
(210) 995-5302
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
39179
TX
Other
Enumeration date
07/21/2019
Last updated
07/21/2019
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