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Individual

GARY TYLER LEFEVOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
11642799-2501
UT
103TC1900X
Counseling Psychologist

Other

Enumeration date
02/07/2017
Last updated
03/13/2024
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