Individual
TC LOSAWYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 HARROUN AVE STE F, MCKINNEY, TX 75069-3433
(972) 548-0209
Mailing address
1505 HARROUN AVE STE F, MCKINNEY, TX 75069-3433
(972) 548-0209
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
73253
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82-2987455
—
TX
Enumeration date
03/29/2018
Last updated
03/29/2018
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