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1235729740
LYDIA DOMINGUEZ IBARRA
CYPRESS, TX
NPI
1235729740
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-01-20
Last Update Date
2021-01-20
Business Address
LYDIA DOMINGUEZ IBARRA MA
12714 ARCHWOOD LN
CYPRESS, TX 77429-3605
Phone number: 316-500-0985
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Mailing Address
LYDIA DOMINGUEZ IBARRA MA
12714 ARCHWOOD LN
CYPRESS, TX 77429-3605
Phone number: 316-500-0985
Copy
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