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Individual

AUTUMN MKENZIE LORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
4422 WESTRIDGE DR, BROWNWOOD, TX 76801
(325) 998-4764
Mailing address
4422 WESTRIDGE DR, BROWNWOOD, TX 76801

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
73364
TX

Other

Enumeration date
02/11/2019
Last updated
10/30/2024
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