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Individual
ROBERT LEE REVENAUGH JR.
Active
Individual
ROBERT LEE REVENAUGH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, MS
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
79008
TX
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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