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Organization

WATERSHED GROUP OF DALLAS, PLLC

Active
Other names
Lifeologie Plano Richardson
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LY HAI TRAN LPS-SUPERVISOR (OWNER/EXECUTIVE DIRECTOR)
(214) 556-0996
Entity
Organization

Contact information

Practice address
3600 SHIRE BLVD STE 208, RICHARDSON, TX 75082-2238
(214) 556-0996
Mailing address
3600 SHIRE BLVD STE 208, RICHARDSON, TX 75082-2238
(214) 556-0996

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
63770
TX

Other

Enumeration date
08/12/2017
Last updated
07/21/2022
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