Individual
MRS. CARLA MARIE HACKADAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1725 5TH AVE, FORT WORTH, TX 76110-6408
(336) 391-0147
Mailing address
1725 5TH AVE, FORT WORTH, TX 76110-6408
(336) 391-0147
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7384
NC
Other
Enumeration date
12/20/2006
Last updated
04/18/2011
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