Individual
MISS LATRINA CAMILLE BACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
442 B WHEELER DRIVE, COMMERCE, TX 75428
(903) 422-5111
Mailing address
442 WHEELER DRIVE, APT B, COMMERCE, TX 75428
(903) 442-5111
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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