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Individual

MRS. DOROTHY W LE PERE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW LMFT CGP

Contact information

Practice address
1635 NE LOOP 410, STE 501, SAN ANTONIO, TX 78209
(210) 821-5980
(210) 821-6121
Mailing address
1635 NE LOOP 410, STE 501, SAN ANTONIO, TX 78209
(210) 821-5980
(210) 821-6121

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S05728
TX
106H00000X
Marriage & Family Therapist
3858
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
070948701
TX
Enumeration date
10/24/2006
Last updated
05/27/2009
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