Provider Information for 1144927120
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ROSHUNDA MONIQUE HARTISON LPC
Sex: Female
NPI: 1144927120
Last Updated: 2023-02-10
Certification Date: 2023-02-10
Certification Date: 2023-02-10
Details
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| NPI | 1144927120 | ||||||||||||||||||||||||||||
| Enumeration Date | 2023-02-10 | ||||||||||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||||||||||||||
| Status | Active | ||||||||||||||||||||||||||||
| Mailing Address | 8414 BLOSSOM BELL LN MISSOURI CITY, TX 77489-6205 United States Phone: 832-725-2407 | Fax: | ||||||||||||||||||||||||||||
| Primary Practice Address | 19002 MISSION PARK DR APT 1424 RICHMOND, TX 77407-3117 United States Phone: 832-725-2407 | Fax: | ||||||||||||||||||||||||||||
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