Provider Information for 1588236160
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TARA CHEREE LANGSTON LPC
Sex: Female
NPI: 1588236160
Last Updated: 2021-07-14
Certification Date: 2021-07-14
Certification Date: 2021-07-14
Details
| Name | Value | ||||||||
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| NPI | 1588236160 | ||||||||
| Enumeration Date | 2021-07-14 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4206 N HILL DR CARROLLTON, TX 75010-4033 United States Phone: 214-212-5133 | Fax: | ||||||||
| Primary Practice Address | 6860 DALLAS PKWY STE 269 PLANO, TX 75024-4232 United States Phone: 214-212-5133 | Fax: | ||||||||
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