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1013533256
IVY HAZEL BERMUDEZ
AMARILLO, TX
NPI
1013533256
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 77006)
Enumeration Date
2020-06-23
Last Update Date
2020-06-23
Business Address
IVY HAZEL BERMUDEZ MA, LPC
1145 SHASTA DR
AMARILLO, TX 79110-3526
Phone number: 806-678-5652
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Mailing Address
IVY HAZEL BERMUDEZ MA, LPC
1145 SHASTA DR
AMARILLO, TX 79110-3526
Phone number: 806-678-5652
Copy
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