Individual
CARLA SUE MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
3601 4TH ST STE 2A300, LUBBOCK, TX 79430-0002
(806) 743-9035
Mailing address
3601 4TH ST STE 2A300, LUBBOCK, TX 79430-6073
(806) 743-9035
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14546
TX
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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