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1105 Memorial Dr Suite 101 Denison TX 75020-2177 | |
| (972) 391-4254 | |
| (903) 464-0559 |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 1105 Memorial Dr, Denison, Texas |
| Authorized Official Name and Position | Carmon Laraine Alexander (COUNSELOR) |
| Authorized Official Contact | 9723914254 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1105 Memorial Dr Suite 101 Denison TX 75020-2177 Ph: (972) 391-4254 | 1105 Memorial Dr Suite 101 Denison TX 75020-2177 Ph: (972) 391-4254 |
| NPI Number | 1275967101 |
|---|---|
| Provider Enumeration Date | 08/28/2013 |
| Last Update Date | 08/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275967101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 10560 (Texas) | Primary |
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