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1336622265
WILLA RENEE MOFFETT-WILLIFORD
PORT ARTHUR, TX
NPI
1336622265
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 9201)
Enumeration Date
2018-09-06
Last Update Date
2018-09-06
Business Address
WILLA RENEE MOFFETT-WILLIFORD LCDC
3401 57TH ST
PORT ARTHUR, TX 77642-5902
Phone number: 409-813-8340
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Mailing Address
WILLA RENEE MOFFETT-WILLIFORD LCDC
3401 57TH ST
PORT ARTHUR, TX 77642-5902
Phone number: 409-813-8340
Copy
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