Provider Information for 1891475539
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Dr. ELIZABETH DIANE PALACIOS Ph.D., LPC, LSSP
Sex: Female
NPI: 1891475539
Last Updated: 2023-07-18
Certification Date: 2023-07-18
Certification Date: 2023-07-18
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1891475539 | ||||||||
| Enumeration Date | 2023-07-18 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 157 NOGAL LN ROBINSON, TX 76706-5536 United States Phone: 254-717-7063 | Fax: | ||||||||
| Primary Practice Address | 157 NOGAL LN ROBINSON, TX 76706-5536 United States Phone: 254-717-7063 | Fax: | ||||||||
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