Individual
MISS CAROL ELIZABETH TENNANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2247 WILDROSE DR, LITTLE ELM, TX 75068-6930
(214) 407-6025
Mailing address
2247 WILDROSE DR, LITTLE ELM, TX 75068-6930
(214) 407-6025
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/31/2009
Last updated
09/01/2009
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