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Individual
MISS CONSTANCE RENEE DURHAM
Active
Individual
MISS CONSTANCE RENEE DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, MA, LPCI, LBSW
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
36563
TX
Other
Enumeration date
10/29/2006
Last updated
07/09/2007
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