Individual
LAUREN GHESQUIERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8231 FREDERICKSBURG RD, SAN ANTONIO, TX 78229-3356
(478) 952-2049
Mailing address
25047 KIOWA CRK, SAN ANTONIO, TX 78255-3524
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
202802
TX
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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