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Individual

CAROLE NICOLE BULLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
601 W LOOP 340, WACO, TX 76712-6840
(254) 399-8255
(254) 235-3408
Mailing address
PO BOX 23269, WACO, TX 76702-3269
(254) 399-8255
(254) 235-3408

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
07/27/2020
Last updated
03/27/2024
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