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Individual

APRIL REGISTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
3492 LONG PRAIRIE RD STE 150, FLOWER MOUND, TX 75022-5015
(214) 564-8842
Mailing address
3492 LONG PRAIRIE RD STE 150, FLOWER MOUND, TX 75022-5015
(214) 564-8842

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
83446
TX

Other

Enumeration date
02/10/2020
Last updated
02/13/2020
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