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Individual

MRS. CAROL LYNN GINDRATT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1219 E SOUTH 11TH ST STE A, ABILENE, TX 79602-4283
(325) 676-2039
Mailing address
2325 REXIE CIR, ABILENE, TX 79606-1114
(325) 698-5382

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
17930
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
133577
SUPERIOR HEALTH
TX
01
7037LC
BCBS
TX
Enumeration date
01/15/2007
Last updated
07/08/2007
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