Individual
CAROL KRETCHMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
508 S ADAMS ST, SUITE 102, FORT WORTH, TX 76104-2147
(817) 878-2834
Mailing address
2622 HIGHVIEW TER, FORT WORTH, TX 76109-1038
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
19523
TX
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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