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Individual

MS. LAURIE BISAILLON SORELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.P.C.

Contact information

Practice address
3141 BRIARCREST DR STE 510, BRYAN, TX 77802-3055
(979) 571-9291
(979) 694-0153
Mailing address
PO BOX 10422, COLLEGE STATION, TX 77842-0422
(979) 571-9291
(979) 694-0153

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
19495
TX

Other

Enumeration date
01/25/2010
Last updated
01/25/2010
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