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1184701716
KATHLEEN R SHEA
FORT WORTH, TX
NPI
1184701716
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 12400)
Enumeration Date
2006-11-01
Last Update Date
2021-04-09
Business Address
KATHLEEN R SHEA LCSW
1516 COOPER ST
FORT WORTH, TX 76104-2710
Phone number: 682-885-1480
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Mailing Address
KATHLEEN R SHEA LCSW
PO BOX 99213
FORT WORTH, TX 76199-0213
Phone number: 682-885-1855
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