Individual
DR. LEONARD BRUCE HARGRAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.F.T.
Contact information
Practice address
8480 E RIDGE DR, QUINLAN, TX 75474-6235
(903) 217-5977
(305) 421-6604
Mailing address
PO BOX 1149, QUINLAN, TX 75474-0020
(903) 217-5977
(430) 542-1660
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2802
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2179285
—
TX
Enumeration date
01/09/2011
Last updated
03/29/2023
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