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1275218596
JEANETTE TELLO SMITH
FORT WORTH, TX
NPI
1275218596
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Former Name
JEANETTE TELLO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: TX 70423)
Enumeration Date
2023-06-15
Last Update Date
2023-06-15
Business Address
JEANETTE TELLO SMITH LSSP
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-355-3022
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Mailing Address
JEANETTE TELLO SMITH LSSP
PO BOX 2603
FORT WORTH, TX 76113-2603
Phone number: 817-569-4300
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