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1700055118
LINCOYA PANESE YOUNG
GRAND PRAIRIE, TX
NPI
1700055118
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 58413)
Enumeration Date
2008-02-29
Last Update Date
2008-02-29
Business Address
-- LINCOYA PANESE YOUNG Licensed Professiona
509 NE 4TH ST #200
GRAND PRAIRIE, TX 75050-5738
Phone number: 972-264-0604
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Mailing Address
-- LINCOYA PANESE YOUNG Licensed Professiona
509 NE 4TH ST #200
GRAND PRAIRIE, TX 75050-5738
Phone number: 972-264-0604
Copy
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