Individual
MRS. CAROLYN CHERIE LARGE-PLASENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
2011 BROADWAY ST STE 130, PEARLAND, TX 77581-5945
(512) 431-4721
Mailing address
250 JOHNNYS WAY, KYLE, TX 78640-5667
(512) 665-4155
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
19578
TX
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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