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1346814449
ITA L JERVIS
KINGWOOD, TX
NPI
1346814449
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 73488)
Enumeration Date
2021-05-14
Last Update Date
2021-05-14
Business Address
ITA L JERVIS
2323 TIMBER SHADOWS DR STE B
KINGWOOD, TX 77339-2028
Phone number: 832-233-3086
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Mailing Address
ITA L JERVIS
PO BOX 5857
KINGWOOD, TX 77325-5857
Phone number: 832-233-3086
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