Individual
CARISSA VIKTORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP ASSISTANT
Contact information
Practice address
1400 PUEBLO, MIDLAND, TX 79705-9038
(218) 688-1701
Mailing address
1400 PUEBLO, MIDLAND, TX 79705-9038
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
44224
TX
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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