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Individual

CAROL MCMILLION

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.,CCC-SLP

Contact information

Practice address
1005 MIDWESTERN PKWY, WICHITA FALLS, TX 76302-2211
(940) 322-0771
(940) 766-4943
Mailing address
1005 MIDWESTERN PKWY, WICHITA FALLS, TX 76302-2211
(940) 322-0771
(940) 766-4943

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
101627
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
111408402
TX
Enumeration date
08/26/2011
Last updated
08/26/2011
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