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1811302003
ELLESE CARLSON
AUSTIN, TX
NPI
1811302003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: TX 110029)
Enumeration Date
2014-06-25
Last Update Date
2015-02-12
Business Address
ELLESE CARLSON
706A W BEN WHITE BLVD 150A
AUSTIN, TX 78704-7144
Phone number: 512-441-5100
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Mailing Address
ELLESE CARLSON
706A W BEN WHITE BLVD 150A
AUSTIN, TX 78704-7144
Phone number:
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