Individual
CARLY SLOVENSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5751 BLYTHEWOOD ST STE 500, HOUSTON, TX 77021-5403
(346) 217-8328
Mailing address
5751 BLYTHEWOOD ST STE 500, HOUSTON, TX 77021-5403
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
19-88715
TX
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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