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1033875950
DESIREE LAUREL GLAZE
TYLER, TX
NPI
1033875950
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 69162)
Enumeration Date
2021-11-15
Last Update Date
2021-11-15
Business Address
DESIREE LAUREL GLAZE LPC S
2003 RICKETY LN STE E
TYLER, TX 75703-1704
Phone number: 903-330-0601
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Mailing Address
DESIREE LAUREL GLAZE LPC S
2003 RICKETY LN STE E
TYLER, TX 75703-1704
Phone number: 903-330-0601
Copy
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