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Individual

SANDRA J. HARAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1401 N CENTRAL EXPY, SUITE 375, RICHARDSON, TX 75080-4669
(972) 644-8077
(972) 644-8557
Mailing address
2720 MELROSE DR, PLANO, TX 75075-1931
(972) 596-4631
(972) 644-8557

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
10647
TX
106H00000X
Marriage & Family Therapist
142
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
507125
TX
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
507125
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1100067-04
TX
Enumeration date
12/04/2006
Last updated
04/06/2015
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