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1306448931
FANTA HARDWELL
RICHMOND, TX
NPI
1306448931
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 13706)
Enumeration Date
2020-11-09
Last Update Date
2020-11-09
Business Address
FANTA HARDWELL
400 AUSTIN ST
RICHMOND, TX 77469-4498
Phone number: 281-342-4530
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Mailing Address
FANTA HARDWELL
400 AUSTIN ST
RICHMOND, TX 77469-4498
Phone number:
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