Individual
CAITLYN ROSE WENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1231 GREENWAY DR STE 100, IRVING, TX 75038-2525
(972) 871-1800
Mailing address
14501 MONTFORT DR APT 1512, DALLAS, TX 75254-8561
(409) 781-8240
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
114802
TX
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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