Individual
CAROLYN LOUISE CLERICO I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC,SLP
Contact information
Practice address
1565 W MAIN ST, LEWISVILLE, TX 75067-3394
(469) 713-5200
(972) 350-9500
Mailing address
16175 BARTON CREEK LN, FRISCO, TX 75033-5897
(214) 543-1647
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13862
AR
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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