Individual
CARLIE BAXA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6835 ANGLEBLUFF CIR, DALLAS, TX 75248-4140
(972) 757-5073
Mailing address
6835 ANGLEBLUFF CIR, DALLAS, TX 75248-4140
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
117232
TX
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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