Individual
CAROLYN MARIE BASCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3613 WILLIAMS DR STE 804, GEORGETOWN, TX 78628-1374
(512) 400-4247
Mailing address
219 CLOUD RD, HUTTO, TX 78634-4388
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
204863
TX
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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