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1104514306
INNER SELF BEHAVIORAL HEALTH LLC
FORT WORTH, TX
NPI
1104514306
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Entity Type
Organization
Authorized Contact
SATANG ANN
Pmhnp Bc
972-841-3706
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2023-04-26
Last Update Date
2023-07-04
Business Address
INNER SELF BEHAVIORAL HEALTH LLC
6850 MANHATTAN BLVD STE 300-19
FORT WORTH, TX 76120-1227
Phone number: 817-631-1298
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Mailing Address
INNER SELF BEHAVIORAL HEALTH LLC
6850 MANHATTAN BLVD STE 300-19
FORT WORTH, TX 76120-1227
Phone number: 972-841-3706
Copy
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