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1063576882
WILLIE SANDOVAL
FORT WORTH, TX
NPI
1063576882
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 12739)
Enumeration Date
2006-12-20
Last Update Date
2007-07-08
Business Address
-- WILLIE SANDOVAL LPC
2121 N MAIN ST
FORT WORTH, TX 76106-8588
Phone number: 817-320-3742
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Mailing Address
-- WILLIE SANDOVAL LPC
PO BOX 166821
IRVING, TX 75016-6821
Phone number:
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