Individual
CARLY FAZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
23750 FM 1314 RD, PORTER, TX 77365-3713
(281) 354-3383
Mailing address
PO BOX 9, PORTER, TX 77365-0009
(281) 354-3383
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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