Individual
CAROL ELIZABETH WELBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
5007 W MARSHALL AVE, LONGVIEW, TX 75604-4824
(903) 466-6509
(903) 759-6500
Mailing address
5007 W MARSHALL AVE, LONGVIEW, TX 75604-4824
(903) 466-6509
(903) 759-6500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
107201
TX
Other
Enumeration date
07/04/2012
Last updated
07/04/2012
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