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1164260683
EMILY CAROL MODLIN
FORT WORTH, TX
NPI
1164260683
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 113438)
Enumeration Date
2024-07-18
Last Update Date
2024-07-18
Business Address
EMILY CAROL MODLIN LMSW
7261 HAWKINS VIEW DR
FORT WORTH, TX 76132-3921
Phone number: 682-399-8255
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Mailing Address
EMILY CAROL MODLIN LMSW
7950 CRYSTAL CREEK CIR
FORT WORTH, TX 76137-5624
Phone number: 817-899-7310
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