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1356814313
NANETTE FODELL
AUSTIN, TX
NPI
1356814313
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 14616)
Enumeration Date
2019-01-02
Last Update Date
2019-01-02
Business Address
NANETTE FODELL LCDC
12335 HYMEADOW DR STE 300
AUSTIN, TX 78750-1935
Phone number: 512-250-9355
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Mailing Address
NANETTE FODELL LCDC
4500 E OLTORF ST APT 406
AUSTIN, TX 78741-4651
Phone number: 214-620-7357
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