Provider Information for 1740666452
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CIERRA BATISTE LPC
Other Names:Former Name:CIERRA NICKSONSex: Female
NPI: 1740666452
Last Updated: 2024-06-12
Certification Date: 2024-06-12
Certification Date: 2024-06-12
Details
| Name | Value | ||||||||||||||||||||
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| NPI | 1740666452 | ||||||||||||||||||||
| Enumeration Date | 2015-08-04 | ||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Mailing Address | 8500 N STEMMONS FWY STE 3052 DALLAS, TX 75247-3969 United States Phone: 901-569-7149 | Fax: | ||||||||||||||||||||
| Primary Practice Address | 8500 N STEMMONS FWY STE 3052 DALLAS, TX 75247-3969 United States Phone: 901-569-7149 | Fax: | ||||||||||||||||||||
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