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1366097735
KATHLEEN CLARE JANUSZ
SOUTHLAKE, TX
NPI
1366097735
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Former Name
KATHLEEN CLARE STACK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 120147)
Enumeration Date
2019-08-02
Last Update Date
2019-08-02
Business Address
Mrs. KATHLEEN CLARE JANUSZ OTR, MEd
700 E STATE HIGHWAY 114
SOUTHLAKE, TX 76092-5236
Phone number: 682-305-0657
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Mailing Address
Mrs. KATHLEEN CLARE JANUSZ OTR, MEd
700 E STATE HIGHWAY 114
SOUTHLAKE, TX 76092-5236
Phone number: 682-305-0657
Copy
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