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1417636242
TRACI M BASKIN
SOUTHLAKE, TX
NPI
1417636242
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: TX 203799)
Enumeration Date
2023-07-18
Last Update Date
2023-07-18
Business Address
TRACI M BASKIN LMFT
1560 E SOUTHLAKE BLVD
SOUTHLAKE, TX 76092-6456
Phone number: 817-301-6493
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Mailing Address
TRACI M BASKIN LMFT
1560 E SOUTHLAKE BLVD
SOUTHLAKE, TX 76092-6456
Phone number: 817-301-6493
Copy
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