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Individual

CAITLYN ANNE LONGAZEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6807 EMMETT F LOWRY EXPY STE 105, TEXAS CITY, TX 77591-2543
(409) 229-4280
Mailing address
600 E MEDICAL CENTER BLVD APT W0802, WEBSTER, TX 77598-4346
(267) 500-5415

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
TX

Other

Enumeration date
09/30/2024
Last updated
09/30/2024
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