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1184256687
RUBY GUTIERREZ
FORT WORTH, TX
NPI
1184256687
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 12942)
Enumeration Date
2020-02-12
Last Update Date
2020-02-12
Business Address
RUBY GUTIERREZ
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-335-3022
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Mailing Address
RUBY GUTIERREZ
PO BOX 2603
FORT WORTH, TX 76113-2603
Phone number:
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