Individual
DR. MILDRED JANET BETANCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2215 ORYX LN, GRAND PRAIRIE, TX 75052-8806
(972) 399-9688
Mailing address
2215 ORYX LN, GRAND PRAIRIE, TX 75052-8806
(972) 399-9688
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
37712
TX
Other
Enumeration date
04/28/2018
Last updated
04/28/2018
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