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1114526274
PATRICE L JERNEGONS
LONGVIEW, TX
NPI
1114526274
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 9010)
Enumeration Date
2020-10-20
Last Update Date
2020-10-20
Business Address
PATRICE L JERNEGONS LCDC
107 WOODBINE PL
LONGVIEW, TX 75601-2912
Phone number: 903-758-2471
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Mailing Address
PATRICE L JERNEGONS LCDC
107 WOODBINE PL
LONGVIEW, TX 75601-2912
Phone number: 903-758-2471
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