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Individual

MILES H LOURENCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MED, LPC

Contact information

Practice address
1049 N 3RD ST STE 603, ABILENE, TX 79601-5847
(702) 525-2567
Mailing address
1049 N 3RD ST STE 603, ABILENE, TX 79601-5847
(702) 525-2567

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
71901
TX

Other

Enumeration date
08/02/2017
Last updated
08/02/2017
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