Provider Information for 1871280917
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AILEEN LONERGAN LPC
Sex: Female
NPI: 1871280917
Last Updated: 2023-04-19
Certification Date: 2023-04-19
Certification Date: 2023-04-19
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1871280917 | ||||||||||||
| Enumeration Date | 2023-04-19 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 4907 RIOJA LN BROWNSVILLE, TX 78521-8388 United States Phone: | Fax: | ||||||||||||
| Primary Practice Address | 4907 RIOJA LN BROWNSVILLE, TX 78521-8388 United States Phone: 787-526-9817 | Fax: | ||||||||||||
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