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1003411182
COLLEEN CASEY JOHNSON
FORT WORTH, TX
NPI
1003411182
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 14554)
Enumeration Date
2020-12-04
Last Update Date
2020-12-04
Business Address
COLLEEN CASEY JOHNSON LCDC
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-335-3022
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Mailing Address
COLLEEN CASEY JOHNSON LCDC
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-569-4300
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