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Individual

CAROLINE SHOEMAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1231 GREENWAY DR STE 100, IRVING, TX 75038-2525
(972) 871-1800
Mailing address
5204 BRYANT IRVIN RD APT 2123, FORT WORTH, TX 76132-3847

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
40452
TX

Other

Enumeration date
03/09/2018
Last updated
03/09/2018
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