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1376938613
TODD GJERDEVIG
GRAPEVINE, TX
NPI
1376938613
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Entity Type
Organization
Authorized Contact
TODD GJERDEVIG
Owner
817-908-0296
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 37507)
Enumeration Date
2015-04-03
Last Update Date
2015-04-03
Business Address
TODD GJERDEVIG
1111 S MAIN ST SUITE 132
GRAPEVINE, TX 76051-5577
Phone number: 817-865-5032
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Mailing Address
TODD GJERDEVIG
1111 S MAIN ST SUITE 132
GRAPEVINE, TX 76051-5577
Phone number: 817-865-5032
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