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Individual
LAVONNE MARIE DYSTE
Active
Individual
LAVONNE MARIE DYSTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC,NCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
63500
TX
101YP2500X
Professional Counselor
Primary
63500
TX
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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