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1134711724
LARRY ALEXANDER
FORT WORTH, TX
NPI
1134711724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 10025)
Enumeration Date
2021-02-05
Last Update Date
2021-02-05
Business Address
LARRY ALEXANDER LCDC
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-335-3022
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Mailing Address
LARRY ALEXANDER LCDC
PO BOX 2603
FORT WORTH, TX 76113-2603
Phone number: 817-569-4300
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