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1063922847
JACY RADER
DALLAS, TX
NPI
1063922847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 73765)
Enumeration Date
2017-10-05
Last Update Date
2017-10-05
Business Address
JACY RADER LPC-Intern
9026 GARLAND RD
DALLAS, TX 75218-3919
Phone number: 817-880-4383
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Mailing Address
JACY RADER LPC-Intern
2362 OLDBRIDGE DR
DALLAS, TX 75228-5360
Phone number: 817-880-4383
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