Individual
MR. JOE DALE BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. ED.
Contact information
Practice address
3212 46TH ST, LUBBOCK, TX 79413-3522
(806) 778-9745
Mailing address
3212 46TH ST, LUBBOCK, TX 79413-3522
(806) 778-9745
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
17211
TX
Other
Enumeration date
03/21/2011
Last updated
03/21/2011
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