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Individual

ERIN LEVERENZ SANDOVAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
2554 E VILLA MARIA RD, BRYAN, TX 77802-2037
(979) 777-7904
Mailing address
4603 PARK RDG, BRYAN, TX 77802-5852
(979) 777-7904
(979) 774-0316

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
34241
TX

Other

Enumeration date
01/04/2010
Last updated
01/04/2010
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