Individual
CARRIE WORSHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
150 WILLOW CREEK DR, #107, WEATHERFORD, TX 76085-3651
(817) 550-5058
Mailing address
150 WILLOW CREEK DR, #107, WEATHERFORD, TX 76085-3651
(817) 550-5058
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
103291
TX
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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