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1952034696
SERENA LEIGH SHADE
LUBBOCK, TX
NPI
1952034696
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 82360)
Enumeration Date
2022-07-08
Last Update Date
2022-07-08
Business Address
Mrs. SERENA LEIGH SHADE LPC
7007 21ST
LUBBOCK, TX 79407
Phone number: 806-220-8388
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Mailing Address
Mrs. SERENA LEIGH SHADE LPC
7007 21ST
LUBBOCK, TX 79407
Phone number: 806-220-8388
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