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1134350705
STACI L ALLEN
FORT WORTH, TX
NPI
1134350705
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 40831)
Enumeration Date
2009-07-30
Last Update Date
2011-10-23
Business Address
Ms. STACI L ALLEN LCSW
8241 VILLA LAGO DR APT. 1112
FORT WORTH, TX 76179-2262
Phone number: 817-690-5627
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Mailing Address
Ms. STACI L ALLEN LCSW
8241 VILLA LAGO DR APT. 1112
FORT WORTH, TX 76179-2262
Phone number: 817-690-5627
Copy
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