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1982059036
LARA PROCTOR
DALLAS, TX
NPI
1982059036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: TX 71989)
Enumeration Date
2016-04-26
Last Update Date
2016-04-26
Business Address
-- LARA PROCTOR M.S., L.P.C.
11882 GREENVILLE AVE STE. 107
DALLAS, TX 75243-0586
Phone number: 214-536-5903
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Mailing Address
-- LARA PROCTOR M.S., L.P.C.
10448 CROMWELL DR
DALLAS, TX 75229-5948
Phone number: 214-536-5903
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