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Organization
LAZARUS PROJECT GROUP PLLC
Active
Organization
LAZARUS PROJECT GROUP PLLC
Active
Other names
Lazarus Project Group PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROLLA MERLE BRADLEY JR. LPC-S (COUNSELOR - OWNER)
(210) 859-5446
Entity
Organization
Contact information
Practice address
19185 FM 2252, GARDEN RIDGE, TX 78266-2574
(210) 859-5446
Mailing address
9352 OSAGE CIR, GARDEN RIDGE, TX 78266-2060
(210) 859-5446
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14527
TX
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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