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1134765761
LARISSA SHURLEY
FORT WORTH, TX
NPI
1134765761
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 13291)
Enumeration Date
2019-11-19
Last Update Date
2019-11-19
Business Address
LARISSA SHURLEY LCDC
700 HEMPHILL ST STE A
FORT WORTH, TX 76104-3105
Phone number: 817-334-0111
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Mailing Address
LARISSA SHURLEY LCDC
700 HEMPHILL ST STE A
FORT WORTH, TX 76104-3105
Phone number: 817-334-0111
Copy
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