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1194284885
SANDRA WENCLASKY
FORT WORTH, TX
NPI
1194284885
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 11917)
Enumeration Date
2019-03-13
Last Update Date
2019-03-13
Business Address
SANDRA WENCLASKY
3604 WINIFRED DR
FORT WORTH, TX 76133-2127
Phone number: 817-296-1388
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Mailing Address
SANDRA WENCLASKY
3604 WINIFRED DR
FORT WORTH, TX 76133-2127
Phone number: 817-296-1388
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