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Laurie Renee Speed

Counselor, Professional in San Antonio, TX. Individual provider (NPI-1).

NPI number1003663816
StatusActive
Last updated in NPPESMay 29, 2024

Details

NPI
1003663816
Entity type
Individual (NPI-1)
Name
Laurie Renee Speed
Sex
Female
Sole proprietor
No
Enumeration date
May 1, 2024
Certification date
May 29, 2024
Last updated
May 29, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional16965TXYes

Practice location

8627 Cinnamon Creek Dr Bldg 401
San Antonio, TX 78240-1482

Phone 210-549-6663 · Fax 210-610-8291

Mailing address

8627 Cinnamon Creek Dr Bldg 401
San Antonio, TX 78240-1482

Phone 210-549-6663 · Fax 210-610-8291

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