Individual
MS. LAURA LYNN SOUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
610 BRANDYWINE DR, MURFREESBORO, TN 37129-6688
(510) 295-9285
Mailing address
610 BRANDYWINE DR, MURFREESBORO, TN 37129-6688
(510) 295-9285
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC 39883
CA
Other
Enumeration date
05/17/2007
Last updated
10/03/2016
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