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1366124836
LATASHA D GREENE
SOUTHLAKE, TX
NPI
1366124836
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: TX 36918)
Enumeration Date
2023-08-03
Last Update Date
2023-08-03
Business Address
Dr. LATASHA D GREENE
502 N CARROLL AVE STE 120
SOUTHLAKE, TX 76092-6449
Phone number: 682-292-7012
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Mailing Address
Dr. LATASHA D GREENE
502 N CARROLL AVE STE 120
SOUTHLAKE, TX 76092-6449
Phone number: 682-292-7012
Copy
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