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Organization
LANDRY THERAPY GROUP PLLC
Active
Organization
LANDRY THERAPY GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA GAYLE LANDRY LCSW (OWNER)
(214) 306-4898
Entity
Organization
Contact information
Practice address
750 N FIELDER RD, ARLINGTON, TX 76012-4635
(214) 306-4898
Mailing address
PO BOX 222, MIDLOTHIAN, TX 76065-0222
(214) 306-4898
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00688B
BLUE CROSS BLUE SHIELD OF TEXAS
—
Enumeration date
06/18/2018
Last updated
06/18/2018
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