Individual
MRS. DEBORAH GAIL CAUDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3009 EASTWOOD DR, WYLIE, TX 75098-8724
(469) 395-4491
Mailing address
3009 EASTWOOD DR, WYLIE, TX 75098-8724
(469) 395-4491
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
74746
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
313721
BLUE CROSS BLUE SHIELD
WY
Enumeration date
08/30/2007
Last updated
02/28/2023
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