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1366167082
STATE OF MIND PSYCHIATRY, LLC
FORT WORTH, TX
NPI
1366167082
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Entity Type
Organization
Authorized Contact
AMANDA KENNEDY
Pmhnp
817-393-2061
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2022-10-05
Last Update Date
2022-10-05
Business Address
STATE OF MIND PSYCHIATRY, LLC
4364 WESTERN CENTER BLVD # 2221
FORT WORTH, TX 76137-2043
Phone number: 817-393-2061
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Mailing Address
STATE OF MIND PSYCHIATRY, LLC
4364 WESTERN CENTER BLVD # 2221
FORT WORTH, TX 76137-2043
Phone number: 817-393-2061
Copy
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