Individual
CAITLIN MAGNUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
100 E FERGUSON ST, TYLER, TX 75702-5759
(903) 509-2040
Mailing address
1301 TIMBERBEND TRL, ALLEN, TX 75002-2906
(214) 717-9740
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
113592
TX
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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