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Individual
MAURICIO MIRANDA
Active
Individual
MAURICIO MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
81610
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81610
LPC LICENSE
TX
Enumeration date
05/03/2021
Last updated
05/03/2021
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