Provider Information for 1134743479
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ANNIA GABRIELA PALACIOS LPC
Sex: Female
NPI: 1134743479
Last Updated: 2020-06-15
Certification Date: 2020-06-15
Certification Date: 2020-06-15
Details
| Name | Value | ||||||||||||
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| NPI | 1134743479 | ||||||||||||
| Enumeration Date | 2020-06-02 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 2101 PRESTONWOOD DR ARLINGTON, TX 76012-5418 United States Phone: | Fax: | ||||||||||||
| Primary Practice Address | 2101 PRESTONWOOD DR ARLINGTON, TX 76012-5418 United States Phone: 915-383-2642 | Fax: | ||||||||||||
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