Individual
LAURA DE LA PAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5545 BONITA AVE, DALLAS, TX 75206-6731
(214) 957-0061
Mailing address
5545 BONITA AVE, DALLAS, TX 75206-6731
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
78709
TX
Other
Enumeration date
06/22/2024
Last updated
06/22/2024
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