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1265561005
LISETTE C DOMITEAUX
DALLAS, TX
NPI
1265561005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 8717)
Enumeration Date
2007-03-05
Last Update Date
2024-01-09
Business Address
LISETTE C DOMITEAUX Ph. D.
5925 FOREST LANE SUITE 202
DALLAS, TX 75230-8805
Phone number: 214-363-0277
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Mailing Address
LISETTE C DOMITEAUX Ph. D.
5925 FOREST LANE SUITE 202
DALLAS, TX 75230-8805
Phone number: 214-363-0277
Copy
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