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1114640497
TIANA SHIVERS
SOUTHLAKE, TX
NPI
1114640497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-09-22
Last Update Date
2022-09-22
Business Address
TIANA SHIVERS LPC
1835 E SOUTHLAKE BLVD
SOUTHLAKE, TX 76092-6501
Phone number: 817-769-7687
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Mailing Address
TIANA SHIVERS LPC
5316 DOVE CREEK DR
FORT WORTH, TX 76244-4569
Phone number:
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