Individual
TRACI M BASKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1560 E SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6456
(817) 301-6493
Mailing address
1560 E SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6456
(817) 301-6493
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
203799
TX
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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