Individual
CAROLINE CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1516 E PALM VALLEY BLVD BLDG B, ROUND ROCK, TX 78664-4619
(512) 733-2800
Mailing address
3500 GREYSTONE DR APT 119, AUSTIN, TX 78731-2301
(913) 787-4581
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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