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1063959419
AUTUMN MORAN
DALLAS, TX
NPI
1063959419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 75788)
Enumeration Date
2017-01-24
Last Update Date
2017-01-24
Business Address
-- AUTUMN MORAN LPC-I, 200hr RYT
12740 HILLCREST RD STE 295
DALLAS, TX 75230-2038
Phone number: 972-385-7447
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Mailing Address
-- AUTUMN MORAN LPC-I, 200hr RYT
2924 BLUEFIELD RD
MESQUITE, TX 75149-1810
Phone number: 214-601-6167
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