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1295560142
ELYSSA HERNANDEZ
FORT WORTH, TX
NPI
1295560142
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Former Name
ELYSSA WHALEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 92854)
Enumeration Date
2024-09-02
Last Update Date
2024-09-02
Business Address
ELYSSA HERNANDEZ LPC-Associate
220 E BROADWAY AVE APT 1132
FORT WORTH, TX 76104-1346
Phone number: 682-847-9160
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Mailing Address
ELYSSA HERNANDEZ LPC-Associate
220 E BROADWAY AVE APT 1132
FORT WORTH, TX 76104-1346
Phone number: 682-847-9160
Copy
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