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1215105762
ELIZABETH MBULA WASONGA
BETHEL, AK
NPI
1215105762
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 20115)
Enumeration Date
2008-02-19
Last Update Date
2020-12-01
Business Address
Ms. ELIZABETH MBULA WASONGA LPC-S
828 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK 99559-0528
Phone number: 907-543-6100
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Mailing Address
Ms. ELIZABETH MBULA WASONGA LPC-S
4102 GREENWOOD WAY
MANSFIELD, TX 76063
Phone number: 682-422-3909
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