Provider Information for 1124728993
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ROSALYN G WEST LPC
Sex: Female
NPI: 1124728993
Last Updated: 2024-05-20
Certification Date: 2024-05-20
Certification Date: 2024-05-20
Details
Name | Value | ||||||||
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NPI | 1124728993 | ||||||||
Enumeration Date | 2023-03-09 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 9387 FM 1960 BYPASS RD W APT 6301 HUMBLE, TX 77338-4484 United States Phone: 832-518-6233 | Fax: | ||||||||
Primary Practice Address | 9387 FM 1960 BYPASS RD W APT 6301 HUMBLE, TX 77338-4484 United States Phone: 832-518-6233 | Fax: | ||||||||
Secondary Practice Address(es) | 2310 ATASCOCITA RD | ||||||||
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