Individual
JULIE A CARRICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
7307 RIDGE KNOLL DR, FORT WAYNE, IN 46804-1419
(260) 432-4033
(877) 829-6676
Mailing address
7307 RIDGE KNOLL DR, FORT WAYNE, IN 46804-1419
(260) 432-4033
(877) 829-6676
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22002985
IN
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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