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1093712333
JAMES H GOTTLICH
FORT WORTH, TX
NPI
1093712333
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 16626)
Enumeration Date
2005-07-01
Last Update Date
2007-07-08
Business Address
Mr. JAMES H GOTTLICH LCSW
3704 MATTISON AVE
FORT WORTH, TX 76107-2619
Phone number: 817-732-8441
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Mailing Address
Mr. JAMES H GOTTLICH LCSW
3704 MATTISON AVE
FORT WORTH, TX 76107-2619
Phone number: 817-732-8441
Copy
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