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Individual
MR. GARY GEORGE JR.
Active
Individual
MR. GARY GEORGE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
71192
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71192
LICENSE NUMBER
TX
Enumeration date
01/24/2016
Last updated
01/24/2016
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