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Individual

MRS. AMY FURQUERON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2003 RICKETY LN STE E, TYLER, TX 75703-1704
(903) 941-2769
Mailing address
2003 RICKETY LN STE E, TYLER, TX 75703-1704
(903) 941-2769

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
68228
TX

Other

Enumeration date
04/07/2016
Last updated
04/07/2016
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