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1356423347
JANE PITTMAN AVILA
FORT WORTH, TX
NPI
1356423347
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 18521)
Enumeration Date
2006-10-19
Last Update Date
2008-02-21
Business Address
-- JANE PITTMAN AVILA LCSW
1616 PARK PLACE AVE
FORT WORTH, TX 76110-1377
Phone number: 817-921-2401
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Mailing Address
-- JANE PITTMAN AVILA LCSW
1616 PARK PLACE AVE
FORT WORTH, TX 76110-1377
Phone number: 817-921-2401
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