Individual
CARISSA SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 KELLER PKWY, KELLER, TX 76248-2249
(817) 744-1000
Mailing address
2408 WHISPERING PINES DR, FORT WORTH, TX 76177-2271
(512) 944-9189
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
03/04/2022
Last updated
03/04/2022
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