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1255100079
LISA GOODRICH
KELLER, TX
NPI
1255100079
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 104383)
Enumeration Date
2023-12-20
Last Update Date
2023-12-20
Business Address
LISA GOODRICH LCSW
140 PECAN ST
KELLER, TX 76248-2215
Phone number: 817-431-1418
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Mailing Address
LISA GOODRICH LCSW
12408 YELLOW WOOD DR
FORT WORTH, TX 76244-6765
Phone number: 817-849-4956
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