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1861118416
LEONARD LAKE
NORTH RICHLAND HILLS, TX
NPI
1861118416
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 82576)
Enumeration Date
2022-10-17
Last Update Date
2022-10-17
Business Address
LEONARD LAKE
5424 RUFE SNOW DR STE 200
NORTH RICHLAND HILLS, TX 76180-6685
Phone number: 817-993-9814
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Mailing Address
LEONARD LAKE
5424 RUFE SNOW DR STE 200
NORTH RICHLAND HILLS, TX 76180-6685
Phone number: 817-993-9814
Copy
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