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1124878368
LISA MEDINA NGUYEN
FORT WORTH, TX
NPI
1124878368
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: TX 104758)
Enumeration Date
2024-03-22
Last Update Date
2024-03-22
Business Address
LISA MEDINA NGUYEN LMSW
2201 SE LOOP 820
FORT WORTH, TX 76119-5863
Phone number: 817-718-1080
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Mailing Address
LISA MEDINA NGUYEN LMSW
9909 KEATHLY DR
FORT WORTH, TX 76131-2449
Phone number: 817-718-1080
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