Individual
LA' TARRA MCINTIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 E 42ND ST, ODESSA, TX 79762-7239
(432) 368-8848
Mailing address
4101 E 42ND ST, ODESSA, TX 79762-7239
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/10/2024
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