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1306574348
LISA SHANNON HUBBARD
FORT WORTH, TX
NPI
1306574348
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 14695)
Enumeration Date
2022-08-09
Last Update Date
2022-08-09
Business Address
LISA SHANNON HUBBARD LCDC
700 HEMPHILL ST STE A
FORT WORTH, TX 76104-3105
Phone number: 817-334-0111
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Mailing Address
LISA SHANNON HUBBARD LCDC
700 HEMPHILL ST STE A
FORT WORTH, TX 76104-3105
Phone number: 817-334-0111
Copy
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