Provider Information for 1023627221
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JULIE NIXON LPC
Sex: Female
NPI: 1023627221
Last Updated: 2020-07-24
Certification Date: 2020-07-24
Certification Date: 2020-07-24
Details
| Name | Value | ||||||||
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| NPI | 1023627221 | ||||||||
| Enumeration Date | 2020-07-24 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 101 PEACEFUL LN CONVERSE, TX 78109-1007 United States Phone: 210-248-9077 | Fax: | ||||||||
| Primary Practice Address | 101 PEACEFUL LN CONVERSE, TX 78109-1007 United States Phone: 210-248-9077 | Fax: | ||||||||
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