PENELOPE DIANE LANE

WACO, TX
NPI1881038776
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: TX  65378)
Additional Taxonomies103TS0200X Psychologist, School
(Licence: TX  33245)
Enumeration Date2013-04-22
Last Update Date2013-04-22
Business Address
Mrs. PENELOPE DIANE LANE
7524 BOSQUE
WACO, TX 76710
Phone number: 254-624-2269
Mailing Address
Mrs. PENELOPE DIANE LANE
6058 GUN CLUB ROAD
TEMPLE, TX 76501
Phone number: