Individual
MRS. CAROLYN MARIA ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
5707 IRON HORSE, MISSOURI CITY, TX 77459-6146
(479) 856-1722
Mailing address
5707 IRON HORSE, MISSOURI CITY, TX 77459-6146
(479) 856-1722
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
104443
TX
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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