LAURENCE SAPUTRA

FORT WORTH, TX
NPI1588166755
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: TX  75981)
Enumeration Date2018-03-05
Last Update Date2018-03-05
Business Address
Mr. LAURENCE SAPUTRA LPC
4232 HERITAGE TRACE PKWY
FORT WORTH, TX 76244-5375
Phone number: 817-447-3001
Mailing Address
Mr. LAURENCE SAPUTRA LPC
4232 HERITAGE TRACE PKWY
FORT WORTH, TX 76244-5375
Phone number: 817-447-3001
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