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1245996826
BRENT MADDOX WOMBLE
TEMPLE TERRACE, FL
NPI
1245996826
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810007680)
Enumeration Date
2021-11-09
Last Update Date
2024-10-29
Business Address
Dr. BRENT MADDOX WOMBLE PhD
109 RIDGEDALE RD
TEMPLE TERRACE, FL 33617-5532
Phone number: 940-453-7930
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Mailing Address
Dr. BRENT MADDOX WOMBLE PhD
109 RIDGEDALE RD
TEMPLE TERRACE, FL 33617-5532
Phone number: 940-453-7930
Copy
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