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1013364611
BLANCA ITZEL VELA
FORT WORTH, TX
NPI
1013364611
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Former Name
BLANCA ITZEL FAVELA MORENO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: TX 72060)
Enumeration Date
2016-05-24
Last Update Date
2024-05-24
Business Address
BLANCA ITZEL VELA LPC-S
1950 EPHRIHAM AVE
FORT WORTH, TX 76164-6670
Phone number: 817-813-7075
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Mailing Address
BLANCA ITZEL VELA LPC-S
15144 ORPHEUS WAY
SAN ANTONIO, TX 78245-3901
Phone number: 210-363-7108
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