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1235495607
SPECIALIZED TRANSFORMATION
GRAND PRAIRIE, TX
NPI
1235495607
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Entity Type
Organization
Authorized Contact
TANISHA GUY
Onwers
800-601-9519
Organization Subpart ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 64618)
Enumeration Date
2012-04-10
Last Update Date
2012-04-10
Business Address
SPECIALIZED TRANSFORMATION
2305 CORN VALLEY RD 230-4B
GRAND PRAIRIE, TX 75051-8804
Phone number: 800-601-9519
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Mailing Address
SPECIALIZED TRANSFORMATION
2305 CORN VALLEY RD 230-4B
GRAND PRAIRIE, TX 75051-8804
Phone number: 800-601-9519
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