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1073764957
TODD ALLEN GJERDEVIG
SOUTHLAKE, TX
NPI
1073764957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 37507)
Enumeration Date
2008-10-09
Last Update Date
2020-01-15
Business Address
TODD ALLEN GJERDEVIG LCSW
180 STATE ST STE 225
SOUTHLAKE, TX 76092-7632
Phone number: 817-908-0296
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Mailing Address
TODD ALLEN GJERDEVIG LCSW
180 STATE ST STE 225
SOUTHLAKE, TX 76092-7632
Phone number: 817-908-0296
Copy
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