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1134299936
CONNIE B MOULDER
FORT WORTH, TX
NPI
1134299936
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 14850)
Enumeration Date
2006-11-08
Last Update Date
2009-08-19
Business Address
Mrs. CONNIE B MOULDER L.P.C.
3800 SANDSHELL DR SUITE 185
FORT WORTH, TX 76137-2429
Phone number: 817-205-3788
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Mailing Address
Mrs. CONNIE B MOULDER L.P.C.
9728 DELMONICO DR
KELLER, TX 76244-9559
Phone number: 817-205-3788
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