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1235545500
LATHA SHRIVATSA
FORT WORTH, TX
NPI
1235545500
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 51836)
Enumeration Date
2014-07-08
Last Update Date
2014-07-17
Business Address
-- LATHA SHRIVATSA
1723 HEMPHILL ST
FORT WORTH, TX 76110-1516
Phone number: 817-927-4040
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Mailing Address
-- LATHA SHRIVATSA
1906 MCCARTNEY CT
ARLINGTON, TX 76012-2030
Phone number: 817-704-3232
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