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1073290672
BRENTON WAYNE KORNEGAY
FORT WORTH, TX
NPI
1073290672
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: TX 30113)
Enumeration Date
2023-07-05
Last Update Date
2023-07-05
Business Address
BRENTON WAYNE KORNEGAY LBSW
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-335-3022
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Mailing Address
BRENTON WAYNE KORNEGAY LBSW
PO BOX 2603
FORT WORTH, TX 76113-2603
Phone number: 817-569-4300
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