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Individual

LAVON LAYNE HEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
1031 W PEARL ST, GRANBURY, TX 76048-1867
(559) 816-3178
Mailing address
516 SMART STRIKE TRL, GRANBURY, TX 76049-7890
(559) 816-3178

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
106251
CA
106H00000X
Marriage & Family Therapist
Primary
125385
CA

Other

Enumeration date
01/28/2020
Last updated
05/24/2023
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